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2022 Registration Form

Rest and Regenerate July 15-18 2021

Plan to arrive at 5pm on Thursday and to depart at 2pm on Sunday.

Contact Information

Address
City
State/Province
Zip/Postal

Personal Information

Please list everyone you are registering (including yourself).
(for room assignment purposes, for example: "male, female, inter, or another")
(for example: "trans", "man", "woman", "non-binary", "cis", or another)
(For example: "she, her, hers", "they, them, theirs", or another)

Emergency Contact

Sending

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