BHC Symposium Registration Form

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BHC Symposium Registration Form

Building Healthcare Collectives Symposium | April 11-13, 2019

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What is your name? *

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Please list any dietary restrictions or requirements. If this does not apply, please write "N/A". *

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Please list any access requirements. If this does not apply, please write "N/A". *

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What pronouns should we list on your name tag? *

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Are there any other things we should consider as we plan our event?

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