Lazarus Weekend Online Application Your name Your Address Your Age Your email Your Mobile Phone Your Marital Status MarriedSingleWidowedDivorcedSeparated Name of Your Home Church Home Church City and State Name of Your Pastor Your Pastor's Phone Number What Lazarus Weekend are you applying for? WinterSummer Why do you want to participate in a Lazarus Weekend? Do you have any food allergies? Do you have any special needs we should be aware of in order to better host you? Where do you prefer to stay while attending the weekend? My Home/Family/Friends near SelmaA Hotel in SelmaA Host home How will you be paying your $150 fee? We cannot reserve your place until we receive both the application and fee. Check mailed to AslanRoarsOnline Additional information (optional)