Kansas Relays Volunteer Form

First Name:

Last Name:

Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Fax:

Cell Phone:

E-mail:

Kansas Relay Official since:

Shirt Size:

Are you interested in becoming a Certified Official?:

Preferred Duty/Event Area #1:

Preferred Duty/Event Area #2

Preferred Duty/Event Area #3

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