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* 1. What is your name?

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* 2. What is your home address?

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* 3. Will anyone else (or dog)  need to be housed with you?

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* 4. What is your disability?

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* 5. When do you plan on arriving and departing?

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* 6. Do you have transportation to get to and from the regatta from the housing location?

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* 7. Please let us know if there is any other information or special needs that you would like to provide regarding your housing request.

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* 8. Please provide a cell phone number so your host can reach you. Thank you!

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