Group Name: Leader Name:

1. Participant Name: Phone Number: Email Address: Address:

2. Participant Name: Phone Number: Email Address: Address:

3. Participant Name: Phone Number: Email Address: Address:

4. Participant Name: Phone Number: Email Address: Address:

5. Participant Name: Phone Number: Email Address: Address:

6. Participant Name: Phone Number: Email Address: Address:

7. Participant Name: Phone Number: Email Address: Address:

8. Participant Name: Phone Number: Email Address: Address:

9. Participant Name: Phone Number: Email Address: Address:

10. Participant Name: Phone Number: Email Address: Address:

PARTICIPATION FORM

100% of these proceeds go to helping theresidents of Lighthouse MInistries and

the poor families in our community!

P.O. Box 3112 | Lakeland, FL 33802www.lighthousemin.org | 863.687.4076

See our v ideo at

www.l ighthousem in .org

CHALLENGE:Due to the increased needs of neighbors in our communities we need to raise $100,000.00. As

families have su�ered �nancial hardships due to loss of jobs and home foreclosure, we see more

opportunities to serve those needs.

THE NEED:Women and children are the most recent casual-

ties of rising poverty and homelessness in Central Florida. Comprehensive care for these individuals

is what is needed. Due to sta�ng and other needs, we have a waiting list.

According to a Plant City housing authority employee 25 families a day are turned away for housing assistance.

There are 1884 children who are homeless in Polk County. There are 40,000 homeless people in a 50-mile radius of

our campus.

HISTORY:For 32 Years, Lighthouse Ministries has worked to uncover the amazing, God-given potential of the

homeless. Thousands have become productive citizens through our Bible-based recovery

programs. Our long history of success puts us in a unique position to help families get on their

feet without government assistance.