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2017 ConnecT1D Retreat Registration
A. Event Tickets
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$

I don't have a roommate, but plan to find one and notify ConnecT1D by March 15th. I understand that if I cannot find a roommate, I will be charged an additional $5o for a single room upgrade.
B. Attendee Registration Details
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First Name
Last Name



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Choose adult unisex t-shirt size
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country

C. (Optional) Guest #2 Registration
Are you attending with a T3 Spouse/Partner? If so, please answer below. If not, skip to Section D. If rooming with another T1D participant, they must fill out a separate registration form.

First Name
Last Name



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Choose adult unisex t-shirt size
D. Pre-Conference Questionaire
Tell us a little more about your Type 1 experience, so we can tailor the retreat to best serve you!



Do you agree or disagree with the following statements?


Thank you for your input!