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Email address: *

First name: *

Last name: *

Street address:

City:

State:
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Zip code:

Phone:

Days you are planning to attend:
Friday, April 19
Saturday, April 20
Sunday, April 21

Dietary Requirements:
Vegan
Vegetarian
Meat
Other  

Carpool Offers/Requests:
have car, can offer rides
no car, looking for a ride
I'm coming from  

Accommodations:
I Have accommodations
I Need accommodations

Arrangements Have/Need:
Bed
Couch
Floor
I Have Pets
No Pets Please

Would you like to receive email updates about the conference?
Yes
No

*We'll do our best to find people accommodations but there are no guarantees.