Idaho SALT Registration

(Note: No academic credits are available for this training.)

Application

Course you are applying for:

First Name

Last Name

Middle Name

Gender

Male

Female

Date of Birth

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Home Phone

Cell Phone

Are you a baptized member?

Yes

Local Church Membership

Pastor's Name

Pastor's Phone Number

How did you find out about the Idaho SALT program?

What are your main objectives in participating in the Idaho SALT program?

Accommodations

Note: Applicants under 18 years of age must be accompanied by an adult.