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TimestampBroadband NameCityState
Your Full Name (or Participant's Name, if a minor)
Name of Parent/Guardian of Minor (if applicable)
Date of SigningYour Phone NumberYour Email Address
Emergency Contact Person's Name
Emergency Contact Phone Number
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5/31/2024 12:20:31
Northern Front Range Broadband
Fort CollinsColoradoAnne Dal Vera5/30/2024970-317-5410dalveran@hotmail.comPeggy Malloy970-404-0043
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6/1/2024 4:43:15
Northern Front Range Broadband
Fort CollinsColoradoGail Nachel6/1/2024970-6464-1281jgnachel@gmail.comJames Nachel815-545-3669
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6/4/2024 15:45:53
Northern Colorado Broadband
Fort CollinsColoradoNatalie Shrewsbury6/4/2024828-899-1915econats@gmail.comSonya Hueftle303-359-7806
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7/29/2024 14:54:18
Northern Front Range Broadband
Fort CollinsColoradoLynn Clay7/29/20249704493940lynnclayco@gmail.comJeffrey Olmsted9706908774
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4/21/2025 8:28:16Northern Front RangeFort CollinsColoradoPeggy Malloy4/21/20259704040043malloyma@hotmail.comAnne Dal Vera9703175410
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4/21/2025 8:32:50
Northern Front Range Broadband
Fort CollinsColoradoJeanie Sumrall-Ajero4/21/20259704307713lotusflowr@comcast.netRamon Ajero9704813968
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5/29/2025 16:47:03Front Range BroadbandFort CollinsColoradoAnn Margaret Grant5/29/2025970-481-3065odygrant@gmail,comAnnemarie Fussell9704061494
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5/29/2025 17:25:07
Northern Front Range Broadband
Fort CollinsColoradoEllen Miller5/29/20259702819078ellendvm@msn.comDanielle Bennett9703666406
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5/29/2025 20:55:42
Northern Front Range Broadband
Fort CollinsColoradoKatherine Keller5/29/2025919-522-2138
katherine.u.keller@gmail.com
Joseph Keller919-349-0450
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6/1/2025 20:46:21
Northern front range broadband
Laporte ColoradoDella Garelle 6/1/2025719.433.1223 Dgarelle@gmail.comMila garelle 719 900 8692
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6/13/2025 14:50:26
Northern Front Range Broadband
Fort Collins ColoradoMichelle Haefele6/13/2025303-717-7732
michelle.haefele@outlook.com
Mike Knowles970-215-8966
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6/14/2025 9:21:16Nancy HicksFt CollinsColoradoNancy Hicks6/14/20259709801008
hicksnancywc@gmail.com
Joanne Hatch970-222-0203
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7/6/2025 16:55:38
Broadband Norhern Frontrange
Fort CollinsColoradoDeni LaRue7/6/2025970-227-9935denilarue@gmail.comSteve Weintraub970-229-0732
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