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2021 Life Defenders Workshop - Terre Haute
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First Name
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Last Name
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Email Address
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Phone Number
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How did you hear about this?
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Affiliate Group (ie church, school group, etc)
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Age Group
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Do you have any food allergies?
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What tshirt size do you prefer?
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Are you bringing any friends with you?
Yes! And they're registering.
No, but now that you mention it, I'll go ask them to come with me.
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This form was created inside of Right to Life of Northeast Indiana.
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