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Parent #2 - First Name
Parent #2 - Last Name
Parent #2 - Street Address
Parent #2 - City
Parent #2 - State
Parent #2 - ZIP
Parent #2 - Home Phone (no dashes)
Parent #2 - Cell Phone (no dashes)
Parent #2 - Work Phone (no dashes)
Parent #2 - Email Address
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    The Coalition for Alcohol & Drug Free Teenagers of Chapel Hill & Carrboro
    154 Lake Ellen Drive
    Chapel Hill, NC 27514
    Telephone: 919-942-3300
    Tip Line: 888-888-TIPS
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