Athlete Leadership Introduction Course - STL Dec. 15, 2018
This is the event registration for the Introduction to ALPs Course being taught Dec. 15, 2018, at Alpha Academy in Warrenton (STL Metro Area). It will run from 9 a.m.-5 p.m. with an hour break included for lunch. Registration deadline is Dec. 10. Cost for athlete-leaders is $10 and covers cost of paper copies and lunch on Saturday. If you register and then cannot attend, you must tell Brandon by Dec. 8 to get your money back. Remember: Mentors do NOT have to pay to attend.
Athlete-Leader Name
*
First Name
Last Name
Athlete-Leader E-mail
*
Athlete-Leader Phone Number
*
-
Area Code
Phone Number
Athlete-Leader Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Athlete-leader gender
*
Athlete-leader birthday (MM/DD/YYYY)
*
Do you have any special dietary needs? If so, what kind?
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Without a mentor?
Wanting to do ALPs without a mentor? If so, just please put N/A or random numbers in all of the boxes below.
Mentor Name
*
First Name
Last Name
Mentor Email
*
example@example.com
Mentor Phone Number
*
-
Area Code
Phone Number
Mentor Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mentor gender
*
Mentor birthday (MM/DD?YYYY)
*
Do you have any special dietary needs? If so, what kind?
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Payment
*
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( X )
Athlete-Leaders (includes lunch)
$
10.00
MENTORS ARE FREE (includes lunch)!
$
Free
Athlete-Leader (Agency Account) $10 -- Email Brandon if using AA money to pay
$
Free
Total
$
0.00
We are committed to making ALPs a positive experience for people with various disabilities. Is there anything you'd like us to know about how your athlete-leader learns or doesn't learn so we can make sure we are properly prepared to assist them?
Register
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