EPIC Mentor Application Form

We have BIG plans.

One of them is more effective communication. To help us out, please provide the contact info required in this form. It will keep things simple, allowing us to get the right information to the person who needs it.

Tell us About Yourself

Name

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Phone

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Email

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Birthdate (dd-mm-yyyy)

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Gender

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Please select one option.

Male Female Prefer not to answer

T-Shirt Size

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Please select one option.

XS S M L XL XXL Other

County of Residence

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Please select one option.

Town of Cardston Cardston County Blood 148 Reservation Other

Does you have any medical conditions, allergies or dietary concerns Epic should be aware of?

By clicking agree, I hereby agree to the COVID WAIVER and TERMS OF SERVICE: https://epic-youth.com/index.php/forms/

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Please select all that apply.

I have read and agree to the covid waiver and terms of service.

Description

We have BIG plans.

One of them is more effective communication. To help us out, please provide the contact info required in this form. It will keep things simple, allowing us to get the right information to the person who needs it.

Please Fix the Following

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