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Photovoice Project Registration Form
Thank you for your interest in the photovoice project! Once you complete the survey, you will be contacted by a Knox County Local Food County member to discuss the project details.
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* Indicates required question
What is your name and contact information (phone number or email address)?
Your answer
Do you live in Knox County?
*
Yes
No
If yes, where in Knox County do you live?
*
Mount Vernon
Centerburg
Danville
Fredericktown
Gambier
Other:
Are you 15 years old or older?
*
Yes
No
Will you be able to attend three, 1 to 2 hour, PhotoVoice project meetings?
*
Yes
No
Maybe
Will you need transportation to attend the PhotoVoice project meetings?
*
Yes
No
Maybe
Do you have access to a Smartphone to take photos? (This is not necessary to participate.)
*
Yes
No
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