First Name*
 
 
 
 
Last Name*
 
 
 
 
Preferred Pronouns
 
 
 
 
Email*
 
 
 
 
Please indicate if you would like to attend the event in-person or online*
 
Online
In-person
 
 
 
Please indicate if you are external to KPU, what is your organization name/email?
 
 
 
 
Do you have any accessibility requests?