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* 1. Last Name, First Name

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* 2. Birthday

Date

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* 3. Gender

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* 4. Email Address

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* 5. How many years have you participated in the Blast?

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* 6. What does being a Hyde Park Blast Ambassador mean to you/Why do you want to help promote the Hyde Park Blast?

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* 7. How have you participated in the Hyde Park Blast? Please select all that apply.

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* 8. Do you give us permission to view your social media accounts?

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* 9. What activities (in the tri-state area) are you involved with/passionate about?

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* 10. Please list any run groups, clubs, or work affiliations you are involved in. (run group/club is not a requirement)

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