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Please Copy and Paste Information and send it an email to CollierTARS@cs.com COLLIER COUNTY TEENAGE REPUBLICANS APPLICATION Full Name: Permanent Address: Permanent Home Phone: Cell Phone: E-mail: Age: DOB: Sex: School: Year/Grade: Parents' Names: Parent's Address(s) if applicable: Extracurricular/Community/Republican Activities: Emergency Contact Name: Emergency Contact Address: Emergency Contact Home Phone: Cell Phone: |