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* 1. Name(s)

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* 2. phone and email

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* 3. Ages of anyone under 21 years old

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* 4. Number your top three location choices in order of preference

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* 5. If you have t-shirts from last year's service day, they will be worn again.
If you do not have a t-shirt from last year, please list your size(s) below

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* 6. We will try our best to give you your first service location, however if we are unable, you will be given one of your top three choices. You will receive more information and details about your service as the date gets closer.

Please ask any questions you may have below:

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