CMC Community Environment Program

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Event Registration Form

Hoja de Registro para Eventos

Next Event:

"Say No to Chemicals" on 11/8

Name (first and last)

Nombre (nombre y apellido):

E-mail address

Correo electrónico:

Phone number (optional)

Número de teléfono (opcional):

# of adults (including yourself) / # de adultos (incluyéndose usted mismo) *

How many people will be coming? / ¿Cuántas personas van a participar?

# of kids / # de niños

Will any children be joining you? / ¿Hay niños que le van a acompañar?

What are the ages of the children that will be participating? ¿Cuáles son las edades de los niños que van a acompañarte?

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