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* 1. If you are planning to attend the Cincinnati AGO Picnic on Sunday, July 16, 5:30PM, at Dogwood Park, Mariemont, please indicate your full name below.

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* 2. Number of guests (including yourself)

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* 3. Please indicate a dish you would be able to share as part of our potluck.

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* 4. Please indicate if you or any of your guests have any food allergies or restrictions.

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