2015 AmeriCorps Build-a-Thon Registration

PARTICIPANT INFORMATION

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* First Name (first name for nametag)

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* Last Name

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* Email address

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* Mobile phone number

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* Emergency contact name

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* Emergency contact relationship

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* Emergency contact phone number

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* Please choose the registrant type that best describes your attendance at this event.

HFHI AmeriCorps National member

HFHI AmeriCorps VISTA member

Event Construction Volunteer

Event Staff

Speaker/Presenter/Guest (non-HFHI)