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Event Registration
Participant Information
First Name
*
Last Name
*
Job Title
Email (Primary)
*
Dietary Restrictions
Vegetarian
Vegan
Pescatarian
Pork-free
Halal
Gluten-free
Dairy-free
Allergy: Egg
Allergy: Peanut
Allergy: Soy
Allergy: Milk
Allergy: Shellfish
Allergy: Treenut
Allergy: Fish
Allergy: Sesame
Hotel(s)
Event Fee(s)
*
In-person
-
$ 30.00
First-time Attendee
-
$ 0.00
Total
Payment Options
Payment Method
Credit/Debit Card
I will pay at the door (check, credit/debit card, cash)
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