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Registration - Community Wellness Day
Email
*
Full Name:
*
First
MI
Last
Phone
*
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No. of attendees
*
1
2
3
4
5
Address
Street Address
City
State / Province / Region
Postal / Zip Code
Questions/Message to the Organizers?
Any suggestions for fun activities
Comments/Feedback to Organizers
*
This acknowledgment is intended as written documentation of participant receipt of CDC & state policies and protocols regarding the mitigation efforts implemented to comply with public health orders and to reduce the risk of exposure to COVID-19 in the hall.
*
I Acknowledge
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