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* 1. Last name

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* 2. First name

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* 3. Contact Information

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* 5. How are you involved with Judo?

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* 6. Organization affiliation(s)

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* 7. Occupation

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* 8. Skill set(s) you have that could be valuable to judo

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* 9. Resources you could donate to judo development

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* 10. What are your ideas for improving and advancing Judo in the United States?

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