M.A.T.E. 2008 On-line Enrollement
(for adult use only, youth should use the print version)

Below is an online form to complete for enrollment in the M.A.T.E. 2008 Work Week.
When completed Click on the Submit Button,
otherwise Click here to return to M.A.T.E. Information Page

Name*:

Age*

Address:

Phone*:

e-mail*:

Skills (none required):

Tools or materials you will bring or have access to:

Are you willing to drive*?


passengers

Do you have special dietary needs? If so please specify:

Would you be willing to serve as an adult sponsor for a person age 16 to 20?



When was your last Tetanus shot:

I have read and understand the W.P.C./M.A.T.E. participant expectations*: Yes
(enrollments with the "Yes" box unchecked cannot be accepted)

* required input



or