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Student Information:
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Emergency Contact Information:
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Participant Questionnaire
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4. Where are you interested in volunteering? *
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5. How did you come to hear of Alternative Breaks? *
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Trainings (required) *
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Alternative Breaks Winter trip
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I would like to attend the AB Spring trip and if I am selected, I agree to make the full payment of $200.00 by February 27, 2018. *
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Medical insurance is required to attend this AB trip. Do you have insurance, or will you need to purchase it for $5.00 per day ($30.00 total)? *
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