Destiny
12th Annual SHE Experience: Attendee Registration Form
Attendee Registration
Event Content
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Attendee Information
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First Name
Please put your first and last name.
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Last Name
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Email
Phone #
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Address
APT/Suite/Unit
This field is optional.
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City
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State
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Zip Code
Have you attended a symposium before?
If yes, select which one(s) below.
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I Attended
2023 Crowns of Courage
2022 It's YOUR Time
2018 Queens on the Move
2017 Let US ALL Unite to Heal The Internal Fight
2016 Remove The MASK To Heal The PAST
2015 Healing Adversity Through Solidarity
2014 Embracing YOUR Freedom
2013 Steppin' Into Your Resilence
Other (Describe Below)
Select all that apply.
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Other Symposium
Please describe which symposium you attended.
Audio/Visual Needs
Do you require any special audio or visual needs?
Ex. Sign Language Interpreter
Dietary Needs
Do you have any dietary restrictions or needs?
Ex. Vegetarian/Vegan
Guest Information
At least (1) guest is required to attend the event.
Are you a guest of someone else?
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Who are you a guest of?
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How Many Guests Are You Bringing?
Guest List Entry
Add Guest
Add entries for your guests above
If provided, we will use the address information to send guests thank you cards after the event.
Package Information
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Package Type
Please Select
Regular (Sep 10th - Oct 1st, $150)
VIP Table (Aug 19th - Oct 1st, $90 Each = $700)
Standard Table (Aug 19th - Oct 1st, $80 Each = $640)
Registration Information
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