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Quoit There's More - Submission Form

You've declared your intent to attend this year, now please provide your particulars in the event of an emergency.

Your Momma: Phone #:

Street Address: Known Allergies:

Medications:

 

If I lose consciousness

Use Smelling Salts Do Nothing Put Me in the Hammock Cold Shower

BloodType:

Select all that apply:

I love trout omelets You You You My partner carries me I don't think I'll ever win I don't care if I ever win

Humorous Anecdotes: