About you
Please provide your contact details and information about yourself
Email *
Name *
Your pronoun (how would you like to be referred to). Please note that this event is only for those who identify as a woman.
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Phone number. Please provide your full phone number with the country code
If you have any physical or mental condition that you would like us to consider at the event, please write below:
Rate your overall wellbeing. When answering this question, please think about your wellbeing in continuous rather than on any specific day.   *
Do you have any fears (e.g. height, water, etc.)? *
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