Catholic Newman Center
@Angelo State University

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Staff Registration

- Ram Awakening

STAFF ONLY
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Age REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- What school do you attend? REQUIRED Please fill out this field. Please enter valid data.
- What Awakening did you retreat? REQUIRED Please fill out this field. Please enter valid data.
- Which Awakening(s) have you staffed? REQUIRED Please fill out this field. Please enter valid data.
- Please select your 1st choice staff: REQUIRED Please fill out this field.
- 2nd Choice Staff: REQUIRED Please fill out this field.
- 3rd Choice Staff: REQUIRED Please fill out this field.
- Specialty Gopher area of choice (ex. media/ cook/ prep staff/ sign-in) Please enter valid data.
- T-shirt size REQUIRED Please fill out this field.
- Any food allergies or special needs? Please List. REQUIRED Please fill out this field.
- Additional Comments
- Payment REQUIRED Please fill out this field.
Total: $

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