MADI Alumni Registration
Welcome!  If you did DI here in Massachusetts, Connecticut, Rhode Island or anywhere else, if you are interested in being involved in MADI please give us your contact information so we can stay in touch with you.  What will you get from us?  A red tie, so we can keep you TIED to DI!
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First Name
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Last Name
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Preferred Pronoun
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Email
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Cell Phone
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What state are you currently living in?
How would you like to be involved? (Check all that apply or that might apply)
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Required
Would you like to share your DI story with us? (Like how did DI impact your life and what are you doing now?  It can be written and/or on video).  We would use it on our marketing of the program...
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Anything else you would like to tell us?
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