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Contact 
Contact Information
Title:
First Name:*
Last Name:*
Company Name:
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:
Additional Information
Tell us how you learned about volunteering for the CHaD Battle of the Badges:* Previous volunteer
CHaD Patient
Facebook
My Employer (not CHaD/DH)
I'm a CHaD/DH Employee
TV
Poster
Radio
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Other
Please tell us who recruited you to volunteer and if you have any physical limitations (e.g. can't stand for long periods.):*
If you are a returning CHaD Battle of the Badges Hockey Volunteer, Please tell us what area you have worked in the past.:
Would you like to volunteer in that area again?: Yes
No
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