Bulk Individual Membership Form

VMA Conference Group Registration

For signing up groups of 5 or more (members and non-members)
School Name*
Number of Attendees*

Name #1 (as you wish to have displayed on your name tag)*

First NameLast Name
What are your preferred pronouns #1 ? *
E-mail #1*
VegetarianVeganNo breadNo preference
YesNo

Name #2 (as you wish to have displayed on your name tag)*

First NameLast Name
What are your preferred pronouns #2 ? *
E-mail #2*
VegetarianVeganNo breadNo preference
YesNo

Name #3 (as you wish to have displayed on your name tag)*

First NameLast Name
What are your preferred pronouns #3 ? *
E-mail #3*
VegetarianVeganNo breadNo preference
YesNo

Name #4 (as you wish to have displayed on your name tag)*

First NameLast Name
What are your preferred pronouns #4 ? *
E-mail #4*
VegetarianVeganNo breadNo preference
YesNo

Name #5 (as you wish to have displayed on your name tag)*

First NameLast Name
What are your preferred pronouns #5 ? *
E-mail #5*
VegetarianVeganNo breadNo preference
YesNo

Name #6 (as you wish to have displayed on your name tag)*

First NameLast Name
What are your preferred pronouns #6 ? *
E-mail #6*
VegetarianVeganNo breadNo preference
YesNo

Name #7 (as you wish to have displayed on your name tag)*

First NameLast Name
What are your preferred pronouns #7 ? *
E-mail #7*
VegetarianVeganNo breadNo preference
YesNo

Name #8 (as you wish to have displayed on your name tag)*

First NameLast Name
What are your preferred pronouns #8 ? *
E-mail #8*
VegetarianVeganNo breadNo preference
YesNo

Name #9 (as you wish to have displayed on your name tag)*

First NameLast Name
What are your preferred pronouns #9 ? *
E-mail #9*
VegetarianVeganNo breadNo preference
YesNo

Name #10 (as you wish to have displayed on your name tag)*

First NameLast Name
What are your preferred pronouns #9 ? *
E-mail #10*
VegetarianVeganNo breadNo Preference
YesNo

How many in your group would like to join us for a pre-conference yoga session at 7:45 AM? (Bring your own mat, if possible. Space is limited)
How many in your group would like to go to a happy hour after the conference, starting at 4:30 PM? We recommend the happy hour at Little Mexico (1328 W Cary St, within walking distance from the venue). Space is limited.

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Group Registration
Choose the total number of attendees using the pull-down menu.

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