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Please enter your full name. *

Please enter your phone number. *

Please enter your email address. *

Please enter your address. *

Please describe the training and/or course work in which you are seeking financial assistance. *

What are you hoping most to gain from this financial assistance? *

Please upload a copy of your resume.

How did you hear about the Dude 21 Foundation? *

Release of Liability: I agree to waive, discharge claims, and release from liability the Dude 21 Foundation from any and all liability on account of, or in any way resulting from injuries, damages, or illness (including COVID-19) even if caused by the negligence of the Dude 21 Foundation. I further hold harmless Dude 21 Foundation from any claims, damages, injuries, illnesses, or losses caused by my own negligence while participating in activities funded by Dude 21 Foundation. I understand and intend that this assumption of risk and release is binding upon my heirs, executors, administrators and assigns, and includes any minors and/or guests accompanying me in activities associated with Dude 21 Foundation.

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