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LFCC Survivor: With a Twist
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I am a(n):
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Student
LFCC Employee
First Name
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Your answer
Last Name
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Your answer
Student ID number
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Your answer
Email address
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Your answer
Closest Campus Location
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Middletown
Fauquier
Please let us know if you can make it to Middletown or Fauquier for the following dates. We know people take family trips, but would really love for you to be with us as much as possible if you are not a virtual student.
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Kick-off Event: June 1 (afternoon)
Physical Challenge #1: June 15 (10 a.m.)
Physical Challenge #2: July 13 (10 a.m.)
Physical Challenge #3: July 20 (10 a.m.)
Winner's Lunch or Dinner: August 3 (Noon or 5 p.m.)
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Do you have specific accommodations as outlined by the American Disabilities Act? Please specify.
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Dietary Restrictions
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None
Vegetarian
Vegan
Gluten-free
Other:
Please enter your name here if you are okay with us filming and using your image to promote this program and LFCC as a whole. If this is not okay, please tell us below.
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Please review the attached document. Please type your full name below if you agree to the terms.
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Please review this document as well. Please type your full name below if you agree to the terms.
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