Canvassing Weekend (Friday, January 27th)
Name *
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PSU Email *
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Phone Number *
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Year *
Emergency Contact Name *
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Emergency Contact Relation to You *
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Emergency Contact Phone Number *
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Emergency Contact Email *
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Can You Drive? *
If so, how many including yourself?
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What time can you leave on Friday? *
Time
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Are you allergic to anything? *
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