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Citizens Academy Registration 2024
Name
Email
Mailing Address
Address or Location
Phone Number
Employer
Emergency Contact Name
Emergency Contact Phone Number
Your Primary Residence is Located
Choose One
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 certify that I am 18 years of age or older, which is a requirement to participate in the Alachua County Citizens Academy program.
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