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CLIMATE TECH ACCELERATOR
11
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1
Attendee Full Name
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First Name
Last Name
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2
Preferred Pronouns
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Please Select
He/Him
She/Shes
They/Them
Prefer Not To Say
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He/Him
She/Shes
They/Them
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3
Attendee Date of Birth
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All Attendees must be at least 18 years of age.
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Date
Month
Day
Year
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4
Attendee Email Address
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example@example.com
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5
Attendee Phone Number
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Area Code
Phone Number
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6
Are You Currently Enrolled In College, University, or Other Form of School?
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YES
NO
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7
If So, What is the Name of the College, University or School?
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8
Do You Have Any Food Allergies or Dietary Restrictions?
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YES
NO
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9
If So, Can You Provide Additional Information?
*
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Note: Food allergies are not a hinderance on acceptance to the camp, but are used to provide information to organizers to ensure proper steps are made to accommodate each attendees personal needs.
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10
Did you hear about the Climate Tech Accelerator from one of our partners?
Arcadia Earth Toronto
Oceanic Global
House of Yes
Liberty Science Center
H-Farm
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11
Application Fee
This is the application fee for the Climate & Technology Startup Bootcamp Application in Venice Italy. The application fee will be applied to the total cost.
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ORDER SUMMARY
Total cost
USD
Climate Tech Accelerator Test
This is the initial deposit for Arcadia Earth's Climate Tech Accelerator
$
100.00
+
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