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First Name

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Last Name

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Address

Please provide address for mailings and swag shipping

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City

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Zip Code

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Phone Number

Please provide phone number in case we need to ring you.

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School District

Please tell us what school district you are in. If you do no have school age children just choose the district that serves the city you live in.

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Do you have school Age Children

Don't worry if you do not, we welcome everyone who wants to fight for our children and parental rights!

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What Age are your children

Tell us what age you children are. Click all that apply. Click NA if this does not apply to you.

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I can help fight for liberty, freedom and parental rights in the following ways

click all that apply

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