Registration Confirmation

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First Name
Last Name
Email *
Zip/Postal Code *

Not in US?

United States

Phone Number *

Can we text you? *

Yes
Emergency Contact *
Emergency Number *

Can you travel from Sunday, Dec 17 until Friday, Dec 22? *

Yes
In 3-5 sentences, tell us about yourself. *
In 3-5 sentences, tell us why you registered for this trip? *

Would you be interested in sharing your story and interacting with media? *

Yes
Is there anything else you'd like to add?
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Registration Confirmation - D.C. Week of Action with DAOK & UWD

Fill out the form to confirm your registration for UWD's week of action in D.C.

Registration Confirmation

Registration Confirmation - D.C. Week of Action with DAOK & UWD

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