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Disability Service - Recharging Sign Up
Please complete and submit this form by June 2 to request Disability Services.
Contact the Disability Services Coordinator (
disabilityservices@50year.eastkingdom.org
) if you have any questions.
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Email
*
Your email
Modern Name
*
Your answer
SCA Name
Your answer
Cell Phone Number
*
Reachable at EK 50
Your answer
Arrival Date
*
Estimated arrival day
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DD
/
YYYY
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