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Community Partners
First Name
Last Name
Cell Phone
Email
Are you
An Attendee (VUB, Student, ect)
A Partner
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Community Partners
First Name
Last Name
Cell Phone
Email
Which shift will you attend?
Mon 1/6, 1-4 pm
Mon 1/6, 5-8 pm
Tues 1/7, 9 am-1 pm
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Community Partners
Full Name
Cell Phone
Email
How will you be attending?
In-person
Virtual
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Community Partners
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Cell Phone
Email
Affiliation
Veteran
ROTC
VUB
How many people are in your party?
Do you require transportation from CUA?
Yes
No
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Community Partners
First Name
Last Name
Cell Phone
Email
Affiliation
Veteran
ROTC
VUB
How many people are in your party?
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Community Partners
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Last Name
Cell Phone
Email
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First Name
Last Name
Cell Phone
Email
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Community Partners
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Last Name
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I understand that after submitting my registration to VUB, I will be redirected to complete my registration with the hosting organization
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