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CHAMP Mascot Reservation
This form is just a request, it does not guarantee that Champ is available for your event.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Organization/Department Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Date Requested
*
MM
/
DD
/
YYYY
Pickup Time
*
Time
:
AM
PM
Return Date
*
MM
/
DD
/
YYYY
Return Time
*
Time
:
AM
PM
Event
*
Your answer
Notes
*
Your answer
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