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Airline & Medical Information

The following information you provide is extremely important.
  
Information will be used to purchase airline tickets and may be given to medical personnel in case of an emergency.
 
If you provide Shirts Across America with inaccurate information, you may incur additional airline ticketing costs/charges.

Participant Information
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First Name
Last Name
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Email where you would like to receive confirmation of submission.
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Please double check this... Very important.
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Medical Information
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We will pass all dietary restrictions/information to the kitchen staff at our partnering accommodations, but not all dietary restrictions are able to be accommodated. Individuals with less common or multiple dietary restrictions should plan to pack or buy supplemental food while in New Orleans.
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Emergency Contact
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First Name
Last Name
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First Name
Last Name
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Helpful information includes location of travel, additional contact information if destination is abroad, etc.
Medical Insurance Card
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