Solidarity Network Registration Form
First Name
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Last Name
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Email Address
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Phone Number
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I want to sign up as a Solidarity Congregation
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If yes, please list the name of congregation below
Your answer
I want to sign up as a Solidarity Neighbor
Would you like to be trained to be a First or Second Responder?
Thank you so much for your interest in WIROC. We'll get back to you as soon as we can.
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