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* 1. First Name 

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* 2. Last Name

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* 3. Spouse's Name (if applicable and spouse is attending)

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* 4. Email Address

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* 5. What Campus Do You Attend?

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* 6. Do you need childcare (ages 6 weeks-5th grade)? Children will receive dinner as well.

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* 7. Names of Children Needing Childcare

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* 8. Ages and Allergies of Children

  Age Allergies?
Child 1:
Child 2:
Child 3:
Child 4:
Child 5:

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