Ambassador Registration
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
School affiliation (if applicable)
Are you looking to sign participants up for:
Winter Youth Shred Program
Winter Youth Shred Club
Both
Do you have a week night preference?
Mondays
Tuesdays
Wednesdays
Thursdays
Name of household member on family pass?
First Name
Last Name
Name of household member on family pass?
First Name
Last Name
Name of household member on family pass?
First Name
Last Name
Name of household member on family pass?
First Name
Last Name
Name of household member on family pass?
First Name
Last Name
Name of household member on family pass?
First Name
Last Name
Please update a picture of yourself
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