Personal Information

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* 1. Please list your first name

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* 2. Please list your surname.

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* 3. What is your gender?

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* 4. Please select which age category applies to you?

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* 5. Which state or territory do you live?

Please select other if you're an international visitor

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* 6. At what email address would you like to be contacted?

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* 7. Do you have a condition of dwarfism?

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* 8. Are you a current SSPA Member?

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* 9. Do you have any special dietary requirements?
If so, please detail:

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* 10. Do you require a lower bunk bed for sleeping?

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* 11. Do you use a CPAP Machine for Sleep Apnea?

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* 12. Do you use a wheelchair or scooter?

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* 13. Do you require any assistance on/off the bus?

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* 14. Do you wish to hire Linen? ($17 per person)

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* 15. Will you be attending all six days of the convention in full?

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