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Add a Local Group Form
fill out this form to add a local group to covid-19list!
Local Group Name
*
is this a state, neighborhood, or region?
Group Purpose/Description
*
{name}
Who is it open to?
Select an option
Status
Select an option
Useful For (Personas)
Select an option
Privacy Notes
Do you have any privacy concerns? what sort of information will be on the site? Should it be limited?
Current spreadsheet Invite Link
if you have a current list you started put the link here:
Lead Organization/Person
*
Your name so we know who to contact to get you set up!
Email or Contact
*
how can we best contact you?
Do not submit passwords through Airtable forms.
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