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1. Please fill out the information below
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2. Please indicate your cell phone number:
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417-840-8217
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417-459-7331
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417-459-7331
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417-459-7331
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417-365-2016
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3. Emergency contact name (for the weekend of the ride):
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Wendy Duncan
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Blye Widmar
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Rudy Widmar
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Rudy Widmar
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417-365-2017
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4. Emergency contact number (for the weekend of the ride):
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4178408217
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417-522-8940
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417-459-7331
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417-459-7331
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417-861-2332
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View All Responses for question #4
5. Please advise any medical/allergy Information:
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User Provided No Response
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User Provided No Response
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User Provided No Response
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User Provided No Response
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View All Responses for question #5
6. Please tell us your connection to multiple sclerosis:
Total Number of Responses 219 |
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7. How did you hear about this event?
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8. What year did you start volunteering with the National MS Society?
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9. What is your t-shirt size?
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10. Are you volunteering individually or as part of a group?
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11. If you are volunteering as part of an organization, business or with family or friends, please list the name of the organization, business or the main contact's first and last name.
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Melissa Dodd
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User Provided No Response
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User Provided No Response
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User Provided No Response
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User Provided No Response
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View All Responses for question #11
12. Rider Check-in and Packet Pick-up.
Total Number of Responses 219 |
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13. Packing and Truck Loading. Heavy lifting is required when loading trucks.
Total Number of Responses 219 |
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14. Friday, September 7 Location Set up
Total Number of Responses 219 |
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15. Positions available both days (Saturday, September 8 and/or Sunday, September 9), be sure and indicate which day or both:
Total Number of Responses 219 |
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16. Rest Stops available both days, times vary
Total Number of Responses 219 |
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17. Saturday, September 8 - DAY ONE START - Clever High School, Clever
Total Number of Responses 219 |
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18. Saturday, September 8 - OVERNIGHT - Schifferdecker Park, Joplin
Total Number of Responses 219 |
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19. Sunday, September 9 - DAY TWO START - Schifferdecker Park, Joplin
Total Number of Responses 219 |
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20. Sunday, September 9 - FINISH LINE - Clever High School, Clever
Total Number of Responses 219 |
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21. If you do not have a position preference or checked a position without a time assigned, please let us know the dates and times you are available.
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User Provided No Response
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User Provided No Response
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User Provided No Response
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User Provided No Response
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User Provided No Response
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View All Responses for question #21
22. Please tell us of any physical limitations or special needs that you may have.
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User Provided No Response
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User Provided No Response
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User Provided No Response
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User Provided No Response
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User Provided No Response
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View All Responses for question #22
23. I have read and I understand the Emergency Medical Treatment Authorization, Media Release and Right of Refusal/Dismissal. I agree to follow the Code of Conduct and Alcohol & Drug Use Policy outlined above. Enter your initials in the box below to agree:
Latest User Responses: |
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Kh
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RJW
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KJW
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JMW
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RM
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View All Responses for question #23
24. Please indicate which of the following activities you are interested in:
Total Number of Responses 219 |
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25. I have the following skills/experience that I am willing to utilize:
Total Number of Responses 219 |
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26. I have the following certifications/licensing that I am willing to utilize:
Total Number of Responses 219 |
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27. Is there anything else you'd like to tell us? Let us know below.
Latest User Responses: |
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User Provided No Response
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