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JCCAA Leisure Learning Club 2023 10/03/23 Day Trip Registration Trip is Full - We Now Taking Waiting List
Age 50+ only
You must sign waiver form, and agrees wearing mask on the bus at all time
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Email
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Your email
Zip Code
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Your answer
First & Last Name
*
Your answer
Chinese Name
*
Your answer
Cell Phone Number
*
Your answer
Emergency Contact Name (not someone on the bus)
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Your answer
Emergency Contact Cell Number
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Your answer
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