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Y-ME Walk Registration Page

Section 1:
Employee Information
Name:
Email Address:
Contact Telephone Number:
Would you like to participate in the Y-ME walk, representing EMS? YES
NO
Section 2:
You only need to complete this section if you plan to participate
If you selected YES please indicate a contact Cell Phone Number (for day of walk):
Will you be bringing guests to the Y-ME walk YES
NO
UNDECIDED
How many guests will you be bringing?
Please list the names of your guests:
Section 3:
T-Shirts Sizes...EMS will be providing T-Shirts for all those who participate
and will be available for pick-up at our "Station" on the day of the walk.
T-Shirt Size Small
T-Shirt Size Medium
T-Shirt Size Large
T-Shirt Size XL
T-Shirt Size 2 XL
Section 4:
Company Brunch (1308 Cantina, Montrose Blvd)
Will you be planning to attend the company sponsored brunch after the walk? YES
NO
UNDECIDED
If you answered YES, how many guests will you be bringing to the brunch?

 

 
 


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