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Southern Lakes Model United Nations: Delegate Registrations

First Name

Last Name

Preferred Name

Email

Phone

Date of Birth

What year of school are you in?

What school do you go to?

What region do you reside in?

Ethnicity

Ethnicity

Gender

What are your pronouns?

How did you learn about UN Youth?

How did you learn about UN Youth?

Is this your first UN Youth event?

Did an HSA encourage you to sign up?

What skills do you hope to get out of participating in the event?

Do you have any dietary requirements?

Do you have any medical requirements?

Do you have any accessibility requirements?

Is there anything else we can do to improve your experience?

Alternative Contact First Name

Alternative Contact Last Name

Alternative Contact Email

Alternative Contact Phone

Relationship to Alternative Contact?