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Registration: The Vera Project
* required field
APPLICANT INFORMATION
*
First Name
*
Last Name
*
Email
*
Mobile Phone
Primary/Home Phone
*
Address
*
City
*
State/Province
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
U.S. Minor Outlying Islands
Utah
Vermont
Virgin Islands of the U.S.
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*
Zip/Postal Code
ADDITIONAL INFORMATION
*
Which team(s) are you interested in?
Volunteer
Member
Outreach
Monitor Engineer
Live Recording Engineer
Sound Runner
Emergency Contact Information
Emergency Contact
Emergency Phone
Emergency Contact Relationship
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Thank you for your interest!
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