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YDKP: RISE Waiver form
Please complete this waiver if you are under 36 and need assistance covering ticket for the RISE fundraiser on 5/10/24.
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Email
*
Your email
Name
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Your answer
Birthdate
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MM
/
DD
/
YYYY
Email
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Your answer
Are you a member of YDKP?
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Yes.
No.
I don't know.
What LD do you reside in?
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23rd (Central/North Kitsap: East Bremerton, Bainbridge, Hansville, Kingston, Poulsbo, Silverdale [East of Silverdale Way] )
26th (South Kitsap/Pierce: Bremerton, Gig Harbor, Port Orchard, Purdy)
35th (Southwest Kitsap/Mason: West Bremerton, Silverdale [West of Chico/Silverdale Way], Belfair, Shelton)
Other LD
I don't know
By filling out this waiver to be able to attend the RISE fundraiser, I attest that I am a member of YDKP and/or under the age of 36 and need assistance in purchasing ticket.
*
Yes
No
A copy of your responses will be emailed to the address you provided.
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