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Unlearn Bookclub Interest Form
Fill this out if you are interested in joining the unlearn book club!
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
I am a...
Year 1
Year 2
Year 3
Year 4
Year 4+
OD Student
VS Student
Year 1
Year 2
Year 3
Year 4
Year 4+
OD Student
VS Student
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Availability
*
6-7
6:30-7:30
7-8
Unavailable
Monday
Tuesday
Wednesday
Thursday
Friday
6-7
6:30-7:30
7-8
Unavailable
Monday
Tuesday
Wednesday
Thursday
Friday
Dietary Restrictions
Your answer
Book Recommendations
Your answer
I am interested in helping lead a session of book club
Yes
No
Maybe
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What are you looking forward to about this book club?
Your answer
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