Copy of Democracy Lab Registration 5/27 - The Civic Table 3

Please complete this registration form if you would like to attend the Democracy Lab discussion "The Civic Table 3" on Tuesday, May 27th from 6:00-8:00 in K 132.

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* 1. Name and Email Address

First Name *

Last Name

Email Address *

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* 2. If you are able to bring a dish, please use this space to indicate what you will bring. Also, if your dish contains any ingredients that might provoke an allergic reaction, please mention them here.

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* 3. How did you hear about this program? (Check all that apply.)

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Email

Carroll website

Canvas

Other (please specify)