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PARTICIPATION FORM Group Name: Leader Name: 1. Participant Name: Phone Number: Email Address: Address:

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

CHALLENGE: Due to the increased needs of neighbors in our communities we need to raise $100,000.00. As families have suffered financial 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 casualties of rising poverty and homelessness in Central Florida. Comprehensive care for these individuals is what is needed. Due to staffing 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.

S e e o u r v i d e o at www.lighthousemin.org 100% of these proceeds go to helping the residents of Lighthouse MInistries and the poor families in our community!

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:


100 FOR HOPE GROUP FORM