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2. First Name*
3. Last Name*
5. Address1
6. City
7. State
9. Email*
13. Additional Registrants*

    1. Yes
    2. No
14. Additional Registrants*

    1. 0
    2. 1 - 2
    3. 3 - 5
    4. 6 - 10

    Please state the number of members in your group.
15. Additional Registrants
    Please state additional registrants name and age.
17. Important
    Remember to wear a face mask, bring or wear boots. Rubber gloves and poke sticks will be provided. Community hours are provided.
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field