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* 1. Name

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* 3. Phone

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* 4. Are you affiliated with an organization? If so, what is your organization's name?

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* 5. Have you volunteered for PIT previously?

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* 6. Would you like to register for the Land Count or a Magnet Site?

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* 7. What time(s) are you available to volunteer?

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* 8. If you're volunteering for the Land Count, would you like to be on the same team as someone else? If so, list their name(s).

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* 9. If you're volunteering for the Land Count, would you like to be a team leader?

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* 10. Emergency Contact Name

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* 11. Emergency Contact's Phone Number

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