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* 1. Name

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* 2. Age

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* 3. Pronouns

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* 4. Contact details

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* 5. What would you get out of attending the residential? (This will help us shape the programme)

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* 6. Do you have any accessibility requirements or dietary requirements (vegetarian, gluten-free, etc.)? Is there anything at all that we can do to make it easier for you to participate?

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* 7. Do you have any allergies or medical conditions which may affect you on this trip? Or are you taking any medication it would be useful for us to know about?

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* 8. Emergency contact

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* 9. Are you out to your emergency contact? (i.e. do they know you are trans?)

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* 10. We can contact your emergency contact

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