Embrace Digital Summer Summit
Detailed Registration Form for the Summer Summit: July 24 & 25, 2020
Attendee Name *
Attendee Birthdate *
Name of Primary Contact (If different than attendee)
Email *
Is there anything we should be aware of to support the attendee's access needs?
Emergency Contact Name & Phone Number *
Pictures and/or video may be taken during the this event. These photos may be posted on social media and/or used for advertising purposes. *
As the attendee is working out of their own space, they are responsible to attend to their own health and safety needs. *
Required
What kinds of activities is the participant most interested in? (Check all that apply)
I'd like to be on Embrace's mailing list to learn more about free community events, classes, etc.
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