IMPACTS - Wallops and Dobbins Check-in
This form is to be used by IMPACTS management and will only be distributed to those that require the information within the project.  We request that you complete this form each time you deploy.  The information is to be used in case of an emergency.  
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First and Last Name *
Where are you staying in the Wallops or Dobbins area (For example, Wallops - Fairfield Inn, Dobbins - Residence Inn, etc.)? *
Room number or address if not a hotel?
Preferred phone number for Wallops or Dobbins area? *
Email? *
Arrival date?  *
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Scheduled departure date? *
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Have you viewed the safety briefing kickoff slides or recording?   *
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