Contact Us

The Omega Lamplighters is always looking to increase the size of our village!

OUR NEXT OMEGA LAMPLIGHTERS INTAKE CLASS WILL BEGIN

‼️SUMMER 2018‼️

Please fill out the contact form below to receive more information on Tallahassee's premier youth organization!

Name Prefix *

Name *

Name

First Name

Last Name

Email Address *

Phone Number *

Phone Number

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Recommend A Young Man for the Omega Lamplighters *

Are you interested in recommending a young man for our organization at this time? (Please fill out additional forms to recommend more students)

Student's Name

First Name

Last Name

Student's Current Grade Level

Student's Current Grade Point Average

Please select the option that best represents your student's current academic standing.

Student's Extracurricular Activities/Accolades

Parents'/Guardians' Name Prefix

Parents'/Guardians' Name

Please provide if information is different from name provided at the top of form

First Name

Last Name

Parents'/Guardians' Primary Phone Number

Please provide if information is different from phone number provided at the top of form

(###)

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Parents'/Guardians' Primary Email Address

Please provide if information is different from email address provided at the top of form

Type of Inquiry *

Please identify the reason most applicable for your form submission.

Which Lamplighter chapter(s) should this form be submitted to? *

Tallahassee Chapter

Wakulla Chapter

Jackson County Chapter

Subject *

Message *