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1. Name (Required.)

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3. Phone (Required.)

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4. Are you affiliated with an organization? If so, what is your organization's name?

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5. Have you volunteered for PIT previously? (Required.)

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6. Would you like to register for the Land Count or a Magnet Site? (Required.)

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7. What time(s) are you available to volunteer? (Required.)

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8. If you're volunteering for the Land Count, would you like to be on the same team as someone else? If so, list their name(s).

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9. If you're volunteering for the Land Count, would you like to be a team leader?

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10. Emergency Contact Name (Required.)

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11. Emergency Contact's Phone Number (Required.)

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