Leadville Race Series-Volunteers 2012
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Thank you for volunteering in Leadville 100. Please complete the following fields.
Leadville Race Series
Medical volunteer coordinators
Morteza Khodaee, MD, MPH
Tom Maino, MD
Please complete this form for each volunteer! If there are groups, please register each volunteer and provide a group name.
. Last name
. First Name
. e-mail address
. Cell Phone * Verizon has the best area coverage. Others work moderately well in the city.
Cell Phone * Verizon has the best area coverage. Others work moderately well in the city.
. Group Name: Provide a simple group name if you are volunteering together
Group Name: Provide a simple group name if you are volunteering together
. Medical Experience
Other (please specify)
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