Event Registration/Registración
Date/Fecha: June/Junio 28th, 2025
Event Address/Dirección: 1300 9th Pl, Wasco, CA 93280
Contact/Contactar: Maciel Godburn at (559) 325-6888 
What harm or violence did you experience?  *
Name/s of the person harmed or violated/ Nombre(s) de la persona perjudicada o violada. *
Name/Nombre *
Phone Number/No. de Teléfono
Home Address/Dirección
Email address/ Correo electrónico  *
I understand that I will have to give a donation upon arrival or in advance./Entiendo que debo dar una donación al llegar o por adelantado.  *
Required
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