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Experience Gay Days Medic Team

First name*

Last name*

Address

Email*

Phone*

Have you been a medic at Gay Days Before?

Yes

No

Do you understand the Good Samaritan Law?

Yes

No

Are you currently an EMT? If so where

Any Certifications?

I am aware that this opportunity is volunteer and unpaid because i would be working under the Good Samaritan Law

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