Find Out If Your Town Is Available:

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* 1. To find out if your town is available & apply to become a sanctioned site, please fill out the following:

Drs. First & Last Name *

Practice Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Primary Email Address *

Cell/Mobile Phone Number *

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* 2. What Chiropractic College did you graduate from?

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* 3. What year did you graduate from Chiropractic College?

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* 4. Why do you feel you are a good candidate to lead your town in Kids Day America/International? (Share about your purpose & accomplishments)

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