New Badge Form

indicates a required answer

New CHEAR Badge Form

Please complete the form below if you need to order a new badge.

1. *	First and last name of person that needs a new badge made.

2. *	Email Address

3. *	What type of badge do you need to order?

4. *

Why do you need a new badge?

Badge was Lost

Badge is Broken

5. *

How would you like to pay?

Cash, and I will pay next class date.		Zelle: [email protected]
Have Dawn charge the card I have on file.