BAYOU REGIONAL VIP AMBASSADOR

2017 APPLICATION FORM

Welcome to the 2017 Bayou Regional Ambassador Program. We would be honored to have a student from your team represented at our 2017 Regional Competition. Students will be escorts to all V.I.P.'s during our event, including the V.I.P. Breakfast on Friday, March 24, and Saturday, March 25, 2017.

The deadline to sign up is FRIDAY, MARCH 17, 2017. If you have any questions, please email Rhonda Christen at rchristenfrc@gmail.com.

STUDENT APPLICATION

Full Name of School:
Team Name:
Team Number:
Full Name of Student (as you want it to appear on all printed materials):
Address:
City:      State:     Zip:
Phone: format: 504-123-4567
Cell Phone:  format: 504-123-4567      Can you receive texts?
Email Address:
Position on Team:
Team Sponsor Name:
Team Sponsor Cell Phone:  format: 504-123-4567
Team Sponsor Email Address:
Parent/Guardian(s) Full Name:
Parent Contact Number (in case of emergency): format: 504-123-4567

Student Commitment:

I understand that I need to attend the kick-off meeting on Thursday, March 23, 2017 (Time to be determined) and I cannot miss this session (attendance required for Kick-Off meeting for VIP Ambassador no exceptions).

I understand that as a VIP Ambassador, I am expected to be available to assist with a rotating schedule that will be flexible during the days of Friday, March 24, 2017 and Saturday, March 25, 2017.

Please check the box if you agree:    

ALLERGIES
Please list any known allergies (including food) or medical conditions (this will not affect admittance to the program):

max: 250 characters

COMMENTS:

max: 250 characters