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Northern California GTCA 2015 signup form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Locality you are from
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Gender
*
Brother
Sister
Age
*
Your answer
Are you fluent in English?
*
Yes
Somewhat
No
Required
Are you fluent in Spanish?
*
Yes
Somewhat
No
Required
Are you fluent in Chinese?
*
Yes
Somewhat
No
Required
Merced Dates
Please check every date that you will participate.
Lord's Day, 1/25
Yes
Monday, 1/26
Yes
Tuesday, 1/27
Yes
Wednesday, 1/28
Yes
Thursday, 1/29
Yes
Friday, 1/30
Yes
Saturday, 1/31
Yes
Lord's Day, 2/1
Yes
Monday, 2/2
Yes
Tuesday, 2/3
Yes
Wednesday, 2/4
Yes
Thursday, 2/5
Yes
Friday, 2/6
Yes
Saturday, 2/7
Yes
Lord's Day, 2/8
Yes
Santa Rosa Dates
Please check every date that you will participate.
Lord's Day, 1/25
Yes
Monday, 1/26
Yes
Tuesday, 1/27
Yes
Wednesday, 1/28
Yes
Thursday, 1/29
Yes
Friday, 1/30
Yes
Saturday, 1/31
Yes
Lord's Day, 2/1
Yes
Monday, 2/2
Yes
Tuesday, 2/3
Yes
Wednesday, 2/4
Yes
Thursday, 2/5
Yes
Friday, 2/6
Yes
Saturday, 2/7
Yes
Lord's Day, 2/8
Yes
Additional Questions (for both Merced and Santa Rosa)
Will you be staying overnight in Merced?
*
Yes
No
Will you be staying overnight in Santa Rosa
*
Yes
No
Will you have a car available?
*
Yes
No
If you will have a car available, how many passengers can it hold beside the driver?
Your answer
Please list any allergies or health concerns we should be aware of
Your answer
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