The Renaissance Ambassadors

Assignment Sheet

Name: ____________________________________________________

Address:__________________________________________________

City/State/Zip:_____________________________________________

Home phone:_________________ Work phone:______________

E-mail address:___________________________________

Have you served as an Ambassador before? ______

Do you have a Renaissance Ambassador shirt? _____

Are you under 16 years of age? ______

Please return this form to: Hannah Maxwell, The Renaissance Center, 855 Highway 46 South, Dickson, TN 37055. Thank you!