Intent to Elangomat Form

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Intent to Elangomat Form

Please fill out this form prior to the induction you hope to Elangomat for.

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* Indicates required question

Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Phone Number *

Your answer

Chapter *

Your answer

Any dietary restrictions that we should know about?

Your answer

Age *

Choose

Youth <18

Youth 18-21

Adult >21

Are you planning to go through brotherhood? *

yes

no

Submit

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