Conclave T'kope Staff Interest
Thank you for your interest in helping staff the 2017 Conclave at Camp Pigott, Sep. 15-17. This form is intended to show your interest in staffing conclave and is not an actual registration form. Conclave registration is open please register using this link: https://goo.gl/NgHmMQ. If you have any questions please contact: Adam Kipust (Adam.Kipust@SectionW1N.org).
Email address
Name (First and Last)
Age/Gender
Preferred Phone number
Preferred Area
Required
Do you have any certifications/training/skills we should know about? (Ex: COPE Level 1/EMT B)
Chapter
Required
Any thing else we should know?
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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