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Teen Leader Training and Materials Request Form

1. Name of Person Requesting Training *This question is required.

2. Email of person requesting training *This question is required. This question requires a valid email address.

3. County/District *This question is required.

4. Phone Number *This question is required.

5. Person responsible for teens during training *This question is required.

6. Type of training: *This question is required.

7. Requested TL training Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

8. Second choice for TL training Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

9. Number of teens expected: *This question is required.

10. Teen Leader T-shirt Size:
Please select T-shirt size(s) and quantity of each for teens attending training: *This question is required.

Small
Medium
Large
X-Large
XX- Large
XXX-Large

11. Training site: *This question is required.

12. Address/ room *This question is required.

13. Phone Number of Location *This question is required.

14. Time (Start/Finish) *This question is required.

Start
Finish

15. Times trainers have access to training room: *This question is required.1 hour before start and 30 minutes after end is preferred

Start
Finish

16. Please list the schools that will be participating in this training: *This question is required.

17. Grades MFMC is presented in: *This question is required.

6th grade
7th grade
8th grade

18. Planned start date for teens to present in the classroom: *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

19. Would you like MFMC to bring SWAG for TL training? *This question is required.