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D23 Presidents Council,  DPAC & Stop Hiding Inc Registration Form
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Name (First & Last) 
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Address
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Zipcode
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Email 
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 Please confirm what group you belong to 
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Mobile Number 
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For those who selected “Other” above please give details 
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How many children do you have? 
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Age of children 
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For students over 13 years old, please share your age [STUDENTS UNDER 13 REQUIRE PARENTAL CONSENT] PLEASE NOTE: Parent consents will be provided upon arrival at the registration desk.
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Name of School(s)
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