Peer Education Workshop Registration
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What's your first name? *

 
Hey {{answer_yjVI}}, nice to meet you.
What's your last name? *

 
Mind telling us how you heard about Peer Education at VAC?


 
Could you please give us your phone number for future reference? *

 
Can you give us an emergency contact number?

 
Nearly there... what is your age? *

Some of our workshops are age-restricted.
 
Thanks {{answer_yjVI}}! One last thing...
Which workshop are you registering for today? *


 
Thanks {{answer_yjVI}}! One last thing...
Which workshop are you registering for today? *


Thanks for registering for {{answer_53073936}}  {{answer_53073954}} 
You will recieve a confirmation email shortly.
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