challenge form

*Name:

*Date of Birth:

*Age:

*School and Grade:

*T-Shirt Size:

I want to become a Junior Ambassador because…

I will help by…

Collect donations (ie: food drive/clothing drive)

Collect donations for my birthday instead of gifts

Hold a fundraiser or event(ie: car wash, bake sale, art show, garage sale and/or lemonade stand)

Other great ideas (please share):

I would like to receive updates and messages from Junior Ambassadors:

Yes, please sign me up!

Email:

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