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2. Instructions
   Enter the full name of the person requesting the swap, the full name of the person being swapped with, the dates being swapped, and the email you wish to be contacted at.
4. First Name
5. Last Name
7. First Name
8. Last Name
10. Date Being Swapped*
    Enter the date you wish to swap in the dd/mm/yy format.
11. Date Being Swapped*
    Enter the date you wish to swap in the dd/mm/yy format.
13. First Email Contact
    Do not use webmaster@ems.co.wise.tx.us as the email. Please enter the email you would like a response sent to.
15. Second Email Contact
    Do not enter webmaster@ems.co.wise.tx.us as the email. Enter the email that the second person in the swap would like a response sent to.
17. Special Notes
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field