Shepard Symposium on Social Justice Registration
First Name *
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Last Name *
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Email address *
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Organization
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Will you be presenting at the conference?
Are you interested in Volunteering at the Symposium?
If you select yes, a committee member will be in contact with you.
How did you hear about the Shepard Symposium on Social Justice?
(Check all that apply)
Check which days you plan to attend the Symposium:
How will you attend?
LUNCH : Check which dates you'll be attending the complimentary lunch at the Symposium:
The conference venue is physically accessible. Please indicate any accessibility needs you have
Please list any dietary restrictions you have
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Would you also like to register for the 4th Annual Gay Straight Alliance Day?
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