Cool Block Leader Sign-Up Form/                         Cool Block Líder Formulario de Inscripción
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Your name/su nombre:
Your email address/su dirección de correo electrónico:
Your phone number/número de teléfono:
Is your phone a cell, home, and/or work phone?/¿Su teléfono es un teléfono celular, de casa, o del trabajo?
If you know your neighborhood council, please tell us which one it is./Si conoce su consejo vecinal, díganos cuál es.
What is your zip code?/¿Cuál es su código postal?
Please tell us specifically how you found out about this meeting. (We want to thank our partners!)/Cuéntenos específicamente cómo se enteró de esta reunión. (¡Queremos agradecer a nuestros socios!)
Choose a cohort for 2022 (select as many as will work for you)/Elija una cohorte para 2022 (seleccione todas las que sean adecuadas para usted):
Your preferred language/su idioma preferido:
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