First Name
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Last Name
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Phone Number
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Date of Birth
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T-Shirt Size
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Areas of Experience or Interest
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Which days and times are you available to volunteer?
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Special Skills (ie: CPR certified, has a Louisiana ATC Bar Card, etc.)
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Physical Limitations
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Photo Release: I understand that it is my responsibility to inform Downtown Lafayette if I do not give consent for the use of my photo.
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Additional Notes
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