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(Person To Notify In Case Of Emergency)
By submitting this application, I hereby affirm that the information that I have provided is true and correct. I further understand that I may be required to undergo Drug Testing and a Background investigation as a condition of my acceptance in the Longwood Citizen Volunteer Organizations of which I am applying for. I further understand that any false or misleading statements, omissions, or other misrepresentations made by me on this application form may result in my immediate dismissal from the LCV Organization.
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