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Building Capacity & Community Conference
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Attendee - $75.00
First Name
Last Name
Email Address
Address
(Street/City/State)
Zip Code
Ethnicity
African American
Caucasian
Native American
Hispanic/Latino
Other
Prefer Not to Answer
If OTHER, please specify
Number of Times Attending the Conference
First Time
1-2
3-4
5+
Tour Options
Agritourism - Sinkland Farms (Limited Transportation Available)
Trails - Trail to Rising Silo Brewery and Farms (Limited Transportation Available)
Main Street - Huckleberry Trail to Downtown Blacksburg (Walking Tour)
No Tour
Will you need transportation on the tour?
Yes
No
Will you attend the Optional Day 3, March 30, 2023 - Tour on Your Own?
Yes
No
Undecided
ADA Restrictions
Mobility Issues/ Wheelchair Access
Vision Impaired
Hearing Impaired
Other
None
If OTHER ADA restriction, please specify
Dietary Restrictions
Celiac/Gluten Free
Vegetarian
Vegan
Nut Allergy
Dairy Allergy
Shellfish Allergy
Other
None
If OTHER dietary restriction, please specify
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