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Blues Muse 2023 Housing Registration: Host
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
City or Neighborhood:
*
Your answer
Your Place
Allergens in your dwelling
Allergens in my home (Check all that apply)
I am allergic to (check all that apply)
Cats
Dogs
Other pets (please list types in other option)
Inside Smoker - cigarettes
Inside Smoker - pot
Fragrances
Dust
Other (list in field below)
Allergens in my home (Check all that apply)
I am allergic to (check all that apply)
Cats
Dogs
Other pets (please list types in other option)
Inside Smoker - cigarettes
Inside Smoker - pot
Fragrances
Dust
Other (list in field below)
Additional allergen info:
Your answer
Would you like to host people who take precautions to mitigate risk against catching COVID?
*
Yes
No
Housing Preferences (people you want to stay with, people you do not, people who you would like to host, people you would not, etc)
*
Your answer
For sleeping arrangements, you can offer:
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A space on the floor
An air mattress
An actual bed
A couch
A cot
Other:
Required
How many of each can you provide?
*
Your answer
You can provide:
*
Sheets
An air mattress
Towels
Pillows
Blankets
Other:
Required
How many of each?
*
Your answer
You can provide housing for the night(s) of:
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Friday, October 14th
Saturday, October 15th
Sunday, October 16th
Thursday, October 13th
Other:
Required
Transportation
You will...
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Have your own car but DO NOT have space for other people
Have your own car AND can drive other people
Need transportation
Be using public transit
Be getting rides from someone else
Other:
If you can drive people, how many spots do you have?
Your answer
You will be...
*
Staying till the very end of the dance each night
Only staying till late night begins
Flexible ¯\_(ツ)_/¯
Other:
Miscellaneous
Any general additional info we might need?
*
Your answer
I agree that if I am exposed to someone who tests positive for COVID within 10 days of the first day of this event, or someone who I am staying with tests positive for COVID while I am at the event, or starts to exhibit symptoms I will immediately inform the housing organizer. I will not attend the event until I have been cleared to do so after I have informed them.
*
Agree
Disagree
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