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Ireland 2022 Chaperone Application
Due 5/26
Please Read our Chaperone Handbook:
https://drive.google.com/file/d/1NzBGYzIBpAUcRFmHKPoCZ3__fQHFECAL/view?usp=sharing
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* Indicates required question
Email
*
Your email
I have read the Chaperone Handbook (above)
*
Yes
Your Last, First Name
*
Your answer
Your Students' Last, First Name(s)
*
Your answer
Your phone number
*
Your answer
Grade(s) your student is currently in
*
8
9
10
11
Required
If you clicked 8th, which School do they currently attend?
CPPMS
ASMS
All Saints
Other:
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Your T-Shirt Size
*
XS
S
M
L
XL
XXL
Preference of meeting night? *Check all that apply*
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
Please list your chaperone experience/qualifications
*
Your answer
Do you currently have a passport that is valid through April 2022?
*
Yes
No
If you clicked No, please detail your plan to obtain one below.
Your answer
(Optional) Are you/do you plan to be fully vaccinated by the end of the year?
Yes
No
Clear selection
Are you interested in helping organize/run a fundraiser? Do you have any connections you'd like to share with us to help make this trip affordable for all students?
Your answer
Send me a copy of my responses.
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