Registration: Placer County Daytripper
After you complete and submit this form, within a few days a member of the Haggin Department of Museum Travel will contact you with further information and payment instructions.
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What is your last name *
What is your first name? *
What is your email address? *
If applicable, what are the names and email addresses of other persons for whom you are registering
What is your home address (number, street, city, zip code)? *
What is your cell phone number? *
What is the name of your emergency contact? *
What is the phone number of your emergency contact? *
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