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2. First Name*
3. Last Name*
5. Phone Number*
6. Email*
8. Please provide a brief description of why you are interested in becoming an instructor with the Murrysville Recreation Department and what you would like to offer to the community.
10. Description*
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12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit

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