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Senior-Support Team & Instructors for OEC Module

Thank you for joining our OEC Module of Senior event Support Team.  Please read the waiver below.  you will then sign the waiver electronically.  Following the waiver is a questionnaire that will help us to plan our event, and select an effective position for you.  If you are a patroller please enroll on NSP.ORG.  Note the course number.

C114210009SOECPNS

    Check here to confirm your signature to and acceptance of the release displayed above.
    I-accept-this-waiver-C114210009

    Your Name (required)

    Your Email (required)

    Your Address (required)

    Phone number (xxx-xxx-xxxx)

    Are you a Patroller?
    yesno

    Have you participated in this event before?
    yesno

    If yes describe what you did.

    Please select your age group
    ChildTeenAdult

    Do you have any special request for assignment? (We can not Guarantee your request.)

    Do you have any special needs we need to address?

    You must attend the Saturday Calibration Clinic, Can you attend the Saturday Clinic?

    YesNo

    Do you plan to stay the entire test day? We need people who can stay all day.
    YesNo

    You are all event staff for this event. Please select one. PatientSupportInstructorT/E

    Thank you choosing to participate.

    DO NOT hit submit twice, it may take a minute or two.