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Registration

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Participant Name(Required)

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Participant email address(Required)

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Organization:

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Are you attending in-person or virtually?(Required)

In-person

Virtually

Are you a student?(Required)

Yes

No

Do you have any dietary restrictions?

Do you need any accommodations?(Required)

Yes

No

Please describe accommodations needed below:

Preferred name for name badge(Required)

Would you like your pronouns listed on your name badge?(Required)

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Phone

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