Life+ is a retreat for people living with HIV, in Ohio. The retreat will occur September 10th - 12th at Deer Creek Lodge. 
We will also be following all State, Local, and venue policies regarding social distancing and COVID-19 safety. This is including single occupany rooms for lodging!

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your phone number?

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* 4. What is your email?

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* 6. What is your birthday? (DD/MM/YYYY)

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* 7. What are your pronouns?

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* 8. Confirm that you will be in attendance for the retreat between the dates of September 10 - September 12, 2021.

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* 9. I confirm that I identify as a person living with HIV/AIDS, in Ohio.

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* 12. Are you willing to provide transportation for other persons in your area, to the event?

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* 13. Do you require an ADA Accessible hotel room?

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