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Citizens Academy Registration
Name
Email
Mailing Address
Address or Location
Phone Number
Employer
Emergency Contact Name
Emergency Contact Phone Number
Your Primary Residence is Located
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Unincorporated Alachua County
Gainesville
Alachua, City of
Archer
Hawthorne
High Springs
LaCrosse
Micanopy
Newberry
Waldo
Outside of Alachua County
How Did You First Hear About This Program
Choose One
Alachua County Website
Facebook
Newspaper or other media
Word of Mouth
County Employee
Other
Age Verification
I acknowledge that I must be 18 years of age or older to participate in the Alachua County Citizens Academy
Media Release
I acknowledge that photos and/or video may be taken during the Alachua County Citizens Academy sessions, which may be used by Alachua County for marketing, promotion, and/or informational content in print and/or digital media
Transportation Verification
I acknowledge that I will be responsible for my own transportation and parking at each session site
disregard this