PTSO STEPPAZ New Member Registration Form

PTSO STEPPAZ New Member Registration Form
Participant Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
E-mail *
example@example.com
YesNo
Date Of Birth

MonthDayYear
Date
YesNo
YesNoSometimes
T-Shirt Size
YesNo
How did you hear about us?*
Why would you like to join PTSO Steppaz?
What would you like your Line Name to be?
Would you like a position available in the group?
Upload a selfie or picture you’d like to use for PTSO Members Profile

Cancelof
Suggestions if any for further improvement:
YesNoMaybe
Entrance Fee pays for your PTSO shirt and Bandanna. Make $35 Entrance Fee payment to $PTSOSTEPPAZ (cashapp) or 229-439-6354 (Zelle/applepay). If you would like to pay for vest as well just contact.
Signature*

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