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RAYSAC Interest Form
If you would like to become involved in RAYSAC, please fill out this form completely. We welcome anyone that would like to support our efforts to help promote a safe and drug free Roanoke Valley.
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Name
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Your answer
Contact Phone Number
Your answer
Email Address
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I am a ...
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Parent
Youth
Community Member
Educator
Young Adult
Other:
How did you hear about us?
Your answer
What area would you like to become involved in with RAYSAC?
RAYSAC Adult Steering Committee (monthly membership meeting)
REAL Team (Youth Leadership, high school age)
Add to email distribution list
Volunteer with community events
Other:
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