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* 1. What is your legal first name?

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* 2. What is your legal last name?

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* 3. What is your date of birth? MM/DD/YYYY

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* 4. Where is your place of employment? ex: 7-11 N. Carson, AMPM S. Carson, Dotty's

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* 5. Did you receive a citation for selling to a minor?
(Did the police give you a ticket for selling alcohol to an person under the age of 21 and you must appear in court or the court is mandating that you take this training for selling to a person under 21 years old?)

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* 6. Have you ever taken the Carson City Alcohol Server Training before?

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* 7. What is the date of the class you are signing up for?

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* 8. What is your race?

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* 9. What is your gender identity?

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* 10. What is your sexual orientation?

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* 12. What is your phone number?
(This will only be used if the scheduled training is cancelled or we need to contact you about your registration or server training card?)

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