2022 Adult Registration Form

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2022 Adult Registration Form

School/Delegation *

First Name *

Preferred Name *

Your PREFERRED NAME will be used on your nametag.

Last Name *

Are you new to YAG this year?

Yes

Clear selection

T-Shirt Size *

What is your Date of Birth? *

YYYY

Gender *

Which gender do you identify with?

Male

Female

Non-Binary

Other:

Ethnicity

Are you of Hispanic, Latino, or Spanish origin?

Yes

Prefer not to say

Clear selection

Race

How would you best describe yourself?

American Indian or Alaska Native

Asian

Black or African American

Hispanic

Native Hawaiian or Other Pacific Islander

White

Prefer not to say

Other:

Dietary Restrictions

Do you have any dietary restrictions? YAG will work to accommodate as best as possible.

None

Vegan

Vegetarian

Lactose Intolerance

Kosher

Gluten Free

Nut Allergy

Other:

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