E-mail Address:
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Full Name
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Primary Phone
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School / Address
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How many Class Raps would you like to do?
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One
Two
Three
More
Are you available for at least one hour of training?
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YES
NO
Maybe
If yes... when?
When is it a good time to call you in order to set up a training day for you?
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Would you be interested in attending our Green Jobs Day of Action Sept. 27th 12am- 2pm Saturday?
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YES
NO
Maybe
Would you be available for some bowling, pizza and some fun Oct 10th?
YES
NO
Maybe
If you could be president what would be the first thing youd do in the first 100 days of office?
*
Required
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