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    Name:

    Birthday:

    Full Address:

    Email:

    Phone:

    Drivers License #:

    Farm Animal Experience:

    First Aid:

    Animal Species:

    Are you currently a legal citizen of the United States?
    Have you ever been convicted of a felony?

    Can you lift more than 50lbs?

    Availability:
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    Sunday:

    Interested in:

    Special Project Days?
    For Events?
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