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2. First Name
3. Last Name
5. Email Address
7. Confirm Email Address
9. Register for Public Safety Workshop
   -- Select One --Basic Emergency Preparedness 3/18 6:30PMBasic Emergency Preparedness 3/28 8:30AMWildfire Awareness and Evacuation Safety 05/27 6:30PMWildfire Awareness and Evacuation Safety 05/30 8:30AM

   Select which workshop you would like to attend. 

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11. 1. Receive an email copy of this form.
12. Email address

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13. Submit

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