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5/11/2020

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Raw Data Registration Structure Registration Form Text

Registration

Council Name *

Home address

City

State

Zipcode

Did you partner with anyone? *

- Select -

Business/Corporation

If so, please mark all that apply:

School

Business/Corporation

Government Agency (city, county, state, or federal)

School

Civic organization/non-profit

Government Agency (city, county, state, or federal)

Faith-based organization

Civic organization/non-profit

Coalition

Faith-based organization

Other

Coalition

Are you planning to participate in next year�s Red Ribbon Week? *

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Data Name	Data Type	Options
Council Name *	Text Box
Email	Text Box
Home address	Text Box
City	Text Box
State	Text Box
Zipcode	Text Box
Did you partner with anyone? *	dropdown	- Select -
Business/Corporation	checklist	If so, please mark all that apply:
School	checklist	Business/Corporation
Government Agency (city, county, state, or federal)	checklist	School
Civic organization/non-profit	checklist	Government Agency (city, county, state, or federal)
Faith-based organization	checklist	Civic organization/non-profit
Coalition	checklist	Faith-based organization
Other	checklist	Coalition
Are you planning to participate in next year�s Red Ribbon Week? *	dropdown	- Select -

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