This event will take place on Tuesday 12th February 2019, 14:00-16:00 in the Jill Craigie Lecture Theatre, Roland Levinsky Building.

Please provide us with some details so we can register you for this event. All data will be held in line with GDPR regulations and will only be used to send you event information. If you do not wish to register via this form then please email LGBTForum@plymouth.ac.uk

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your email address?

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* 4. What is your preferred pronoun (eg. He/him, She/her, They/Them)?
This question is not mandatory. If you provide an answer to this question, your pronoun will be printed on your name badge.

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* 5. What is your organisation/department/faculty?
This question is not mandatory. If you are not here on behalf of an organisation/department/faculty then you may leave this blank.

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* 6. Finally, please let us know if you have any dietary or access requirements:

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