Registration for Red Shirt Team Leaders
Are you at least 18?
Yes
No
Name
Street Address
City
State
Zip
E-Mail
Home Phone
Cell Phone
Have You Served at the Factory?
Yes
No
Affiliation
Are you associated with a church, school or business? Which one?
Availability on Saturdays
AM
PM
Both
Availability for Weekday Events
Yes
No
Depends on the day
Comments or Questions
Emergency Contact Name
Emergency Contact Phone