Hike with Mike Sign Up

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Meet at 10:00 a.m. at Schenley Park Cafe. 101 Panther Hollow Road Pittsburgh, PA 15213. There will be hot drinks provided and lots of fun! Please fill out this form so we know how many are expected to attend this event. There is a waiver question at the bottom- you MUST sign this part!

We will not share your information outside of PRISM staff unless we have your permission. For questions, please contact: Bernadette@prismpgh.org

email *

first name *

last name *

English name/nickname

Gender

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Female

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Country of origin *

Affiliation/university/profession *

Phone Number

Name(s) of additional family members/friends attending

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