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LOC Juneteenth Event Registration
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First and Last Name
*
Your answer
Are you an alumnus of LeMoyne-Owen College
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Yes
No
Email Address
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Your answer
Phone number
*
ex. 555-555-5555
Your answer
Please identify additional guest
Please list name and contact information if different
Your answer
I agree to follow all COVID-19 protocol established by LeMoyne-Owen College and Shelby County Health Department stated in Public Health Directive.
*
https://insight-editor.livestories.com/s/v2/2.3-health-directives/d4a0c7d0-e5b5-4845-8b9b-99b7ed311f70
Yes
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