Get Active For Licensure!
AZAND's "Road to Licensure" Fundraiser
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Registering as an Individual or Team? *
Your Name AND Names of ALL Team Members *
Email (if in a team, choose one person to be the leader) *
Team Name
Click link below for our "GoFundMe" page where you can pay registration fees ($15 per individual). Fees must be paid in order to participate in this event. *
Other information:
Once you've filled this form and paid the registration fees, you (or your team leader) will receive a link to the "Get Active for Licensure" Google Drive that will contain the necessary instructions and documents to participate in this event and track your activity points.
Please write any questions that you may have:
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