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Tên Đoàn (Chapter Name): ?
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Arrival date and time, if not on time/If you're leaving early/leaving part-timeFor HT/TT/PH ONLY
Committee you would like to help
Name (Tên)
Last Middle First (Họ Tên)
(please write symbols for Viet names
xin bỏ dấu vào tên Việt)
Nam (M)/Nữ (F)
Male (M)/Female (F)
Ngành
Division
Phone Number
Điện Thoại
(only HSTT/HT/PH/TT)
Email Address
Điện Thư
(only HSTT/HT/PH/TT)
Ngày Sinh
(Tháng Ngày Năm)
DOB
(MM/DD/YYYY)
Emergency Contact Name Emergency Contact NumberT-shirt Size
(S/M/L/XL)
Dị Ứng/Allergies or Medical Conditions
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1John Tí Anh Bui M501-563-6443buijohnusa@gmail.com11/26/2005All of us Sr. Tin 501-515-7823LPollen, Soybean
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2Tuan Anh DoM501-612-9110thoan1881@gmail.com06/23/2006M
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3Quang NguyenM870-284-4007quanglai068@gmail.com12/01/1985L
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4Binh NguyenM09/20/2012M
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5Justin LeM02/14/2006M
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6Holly Duong F501-442-9588hollyduong2@gmail.com03/19/1973M
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7Nora Anh Thu F04/05/2009S
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8Trình Công Tran F1972M
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9Peter HaM07/29/2005M
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10Tran HoangF01/05/2007S
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11Alend NguyenM10/16/2006M
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12Apple Anh Pham F11/14/2009S
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