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Team Firestopper - Kern (Taft) Community Canvassing
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First Name
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Last Name
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Are you over 18?
I am over 18
I am under 18 and will return the Parental Consent Forms by October 9th
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Primary Phone
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Email
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Are you a current Red Cross volunteer?
Yes
No
Are you affiliated with a local group or organization? If so, please list.
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What is your t-shirt size? (adult sizes)
Do you have any food allergies? If so, please list.
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WILL YOU REQUIRE TRANSPORTATION TO TAFT, CA FOR THIS EVENT?
Yes
No
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