Pre-Registration

Date: June 6th
Time: 11am - 2pm
Location: Remote (with potential for hybrid; see below)

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* 1. Name

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* 3. Phone number

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* 4. Do you live in Burlington?

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* 5. Language

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* 6. Which topic are you most excited to learn about?

This event will be remote and held online (Zoom). We will also be hosting an in-person session in Burlington. If you are interested in attending in-person, please make a note of this below. This will help inform how much food we order.

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* 7. Would you prefer to attend in-person or remotely (Zoom)?

The following questions are optional but by providing demographic information, you help us advocate for continued funding for our programs. If you would rather not provide this information, you may scroll to the bottom and click done. Thank you!

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* 8. What is your gender?

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* 9. What is your ethnicity?

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* 10. What is your race?

Thank you and we look forward to seeing you in June!

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