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GBZC December 2022 Sesshin Registration
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email address
*
Your answer
Gender (to be used for assigning roommates)
Female
Male
Prefer not to say
Other:
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Preferred pronouns (to be used in referring to you)
She/her/hers
He/him/his
They/them/their
Other:
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Phone Number
*
Your answer
Mailing Address
*
Your answer
Emergency contact: Name, phone number, and email
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Your answer
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