Orientation Registration Form - First Responders Chaplain Association

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Name

First

Last

Chaplain Badge I.D.

Todays Date

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

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Date of orientation: August 21 2023

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Where: Online, Orientation will be via Zoom

Time: 7pm

Who can attend orientation?: All register students that have fill and submitted the registration form.

I have read and understand the information and important dates above.

An email reminding you of your orientation date will be sent to your email on record.

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