Black River Stages Rally
September 28-29, 2007
Harrisville, New York
Worker Information Form

Contact:
Keith Kreisler
Tel. 518-371-1347
KKreisler@NYCAP.rr.com


Overview of a Stage Rally for New Workers
Helpful Worker Hints

First Name:		

Last Name:		

Street Address: 	

City,State,Zip:	

Phone Home: 		

Phone Work: 		

E-Mail: 		


Work Experience: Stage Rally TSD Rally I would like to work as a: Stage Captain Control Worker Course Marshal Other:
HAM License? If Yes, Please enter Call Sign
Medical Certification? If Yes, Please enter Type


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