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2. Sponsored by
4. 
5. 
6. 
8. Sign up to see if you qualify,
   • One per Household
   • Must be a District 2 Resident within CRA Boundaries
   • Must show valid ID

   First come, first serve, While supplies last.
   Your registration bay be canceled if you are ineligible.
   Retrieve at Council Meetings on June 28, 2022, or July 12, 2022 at 5:30 PM

10. Name*
12. Address*
14. City*
15. State*
16. Zip Code*
18. Phone Number*
19. Email Address*
21. Date*
    Date
23. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
25. Electronic Signature*
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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