Colorfest 2013 Registration
for questions related to registration, contact Michael Sprouse, Registration coordinator, at michael.sprouse@gallaudet.edu
Participant Information
Name *
(Last, First, Middle Inital)
Preferred Name
Gender *
Date of Birth *
(MM/DD/YY)
Address *
City *
State *
Zip Code *
Country *
Ethnicity *
Preferred Method of Contact *
Required
Email address *
Videophone/phone #
if It's a VP number, please write VP next to the number (example: 202-651-2000 VP)
Accommdations
Special Accommodations needed? *
If yes, please fill out the Colorfest 2013 Accommodation Registration form
Vegetarian *
Vegan *
Any Food Allergies? *
If none, put N/A
Emergency Contact Information
Name *
(Last, First, Middle Inital)
Preferred name
Relationship *
Address *
City *
State *
Zip code *
Country *
Preferred method of Contact *
Required
Email Address *
VP/phone number *
if It's a VP Number, put VP next to the number (example: 202-651-2000 VP) if its Text, put TXT
Lodging Arrangements
for questions, contact . (michael.sprouse@gallaudet.edu)
Do you need assistance with making lodging arrangements? *
if yes, select not sure for the next question
Where will you be staying? *
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