2. The City of Daytona Beach is proud to offer Citizens Academy classes planned each year. Classes are offered on Tuesday mornings from 9 a.m. to noon. There is no cost for the 9-week course which will offer a hands-on, interactive educational program which allows citizens a greater insight into the various services and functions of city government.
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip*
13. Home Phone
14. Cell Phone
16. Email Address
18. Employer or Business Name
20. Address
22. Gender*

    1. Man
    2. Woman
23. Shirt Size*

    1. Small
    2. Medium
    3. Large
    4. X-Large
    5. XX-Large
27. The Citizens Academy will meet each Tuesday from 9 a.m. to noon for nine weeks.
29. Can you attend all classes?*

    1. Yes
    2. No
31. Briefly explain why you wish to enroll in the Citizens Academy and what you would like to gain from the experience
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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

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