Test program – Maddie

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1 Welcome

2 People in your group

Guest 1		First Name* Last Name* Email* Preferred name* This will be the name we use for email communication Which year were you born? Do you have any access needs? Please email us at registration@pendlehill.org to confirm availability of accessible rooms before registering. Please let us know if you need a room without steps. While it is our hope to meet all the needs of those who come to Pendle Hill, our campus and capacity have their limitations. If you have questions, please visit https://pendlehill.org/campus/campus-map-and-accessibility/ or email registration@pendlehill.org
Guest 1		First Name* Last Name* Email* Preferred name* This will be the name we use for email communication Which year were you born? Do you have any access needs? Please email us at registration@pendlehill.org to confirm availability of accessible rooms before registering. Please let us know if you need a room without steps. While it is our hope to meet all the needs of those who come to Pendle Hill, our campus and capacity have their limitations. If you have questions, please visit https://pendlehill.org/campus/campus-map-and-accessibility/ or email registration@pendlehill.org

After completing this form, emails will be sent to everyone in your group to complete their information.

3 Join for dinner?

4 Participant Info

Preferred name *	This will be the name we use for email communication
Phone *
Address *
Address 2
City *
State/Prov. *
Zip/Postal *
Country *
Which year were you born?
Do you have any access needs? Please email us at registration@pendlehill.org to confirm availability of accessible rooms before registering.	Please let us know if you need a room without steps. While it is our hope to meet all the needs of those who come to Pendle Hill, our campus and capacity have their limitations. If you have questions, please visit https://pendlehill.org/campus/campus-map-and-accessibility/ or email registration@pendlehill.org
Will you be joining us online or on campus?
Please check this box if you would like to join us for dinner from 6-7pm before the lecture	Learn more about meals at Pendle Hill
Select the option that best describes your diet. *	The Vegan option excludes milk, eggs, fish, and shellfish; Gluten Free excludes wheat (soy products used at Pendle Hill are gluten free). We clearly label dishes containing peanuts, tree nuts, soy, and sesame so you can avoid them. If more than one option applies, choose the most restrictive and list the others in the Dietary Notes field below. All food is prepared in one kitchen, so we cannot guarantee against cross-contamination. Pendle Hill does not have a dedicated gluten-free or peanut-free facility and is not a kosher or halal kitchen. If you have a serious allergy or a need outside this list, please tell us in the Dietary Notes field below. If your needs go beyond what we can accommodate, we may ask you to consider bringing your own prepared meals or snacks to supplement. Refrigerators and microwaves are available for your use.
If any, please list your food allergies, sensitivities, or additional dietary needs.	If more than one dietary option applies to you, name the others here. For example you may be a gluten-free vegan or a dairy-free vegetarian. Sensitivities outside our options, such as onion, garlic, or nightshades, can also go here. If you have a serious allergy, list it here so the kitchen is aware. We can't promise to fully accommodate your specific needs, but we will do what we can.
Comments or Questions

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6 Security Check

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