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Duke MSA Southern InterMSA Summit Registration Form
Full Name *
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Phone Number
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Email Address
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What school do you attend? *
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Gender *
What is your age? *
Your answer
How will you be traveling to Duke? *
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Will you require parking for the weekend? *
Will you require on campus housing? (Note: Priority on housing will be given to those that are traveling from more than an hour away) *
Do you have any food allergies? (Note: All food will be halal)
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Please list any other medical needs
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Please give the name, phone number, and relation (mother, father, etc.) of two emergency contacts: *
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Around what time on Friday are you planning on arriving (Note: registration begins at 5pm) *
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Do you have any suggestions for making this a quality summit?
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