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* 1. Full Name:

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* 2. I plan to attend January Express Orientation on Friday, January 11th from 9:00 am-5:00 pm

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* 3. Cedar Crest ID number:

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* 4. Phone number:

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* 5. Cedar Crest email address (we will use this for all Orientation Communication):

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* 6. Do you have any dietary restrictions?

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