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UVAE Enrollment Form

This enrollment form is to be complied during the enrollment phase.
This is part 1 of 2 forms. The next one will be a survey for Interns and/or 5-day Unique VA Event challengers.
1.Name(Required.)
2.Email(Required.)
3.Shipping Address (Complete Address)(Required.)
4.Mobile Number(Required.)
5.Preferred UVAE Customized Shirt Color(Required.)
6.Shirt Size(Required.)
7.UVAE Program (Required.)
8.Preferred VA Course(Required.)
Current Progress,
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