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Event
"Wine and Roses"
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Event Registration Form

"Wine and Rose"

Name:

How can we contact you?

Phone: (e.g., 206-222-3456)

E-mail address:

Address:
(street address, apt. no)

(city, state, zip)

Would you like to be added to CARA's mailing list?
Yes  No

Are you a vegetarian or vegan?
Yes  No

Will you need childcare?
Yes  No

If you have a disability, what will you need to be supported to attend the Teach-in?

Do you identify as a person of color?
Yes  No

How long will you be with us for the Teach-In?
All Day
First Half (11pm-2:30pm)
Second Half (2:30pm-5:30pm)

We strongly encourage people to attend the Teach-in for the full day, but if you can only join us for a small part of the day please indicate when you will be with us.

 

If you have any additional questions please contact theryn at 206-322-4856.

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e-mail: info@cara-seattle.org | phone: (206) 322-4856 | tty/fax: (206) 323-4113
office: 801-23rd Ave S, Suite G-1 Seattle, WA 98144
Last Updated: November 2007 © Communities Against Rape & Abuse

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