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DSA Registration and Housing Application
We request all DSA and YDS members attending the People's Summit fill out this form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Street Address
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
DSA or YDS Chapter (if any)
Your answer
Arrival Date
*
If you are not sure, please give us your best guess.
MM
/
DD
/
YYYY
Arrival Time
*
If you are not sure, please give us your best guess.
Time
:
AM
PM
Departure Date
*
If you are not sure, please give us your best guess.
MM
/
DD
/
YYYY
Departure Time
*
If you are not sure, please give us your best guess.
Time
:
AM
PM
We ask that all DSAers wear a DSA t-shirt on Saturday of the People's Summit for visibility reasons. We will have t-shirts available for purchase for $15 if you don't have one, but we need to know your size.
*
Yes, I have a t-shirt I will wear
No, I need a t-shirt
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