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* 1. What is your full name?

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* 3. What is your phone number?

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* 4. Will you be attending the one-hour session?

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* 5. Do you have any dietary restrictions?

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* 6. If you selected 'Other' for dietary restrictions, please specify.

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* 7. How did you hear about this event?

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* 8. If you selected 'Other' for how you heard about this event, please specify.

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