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Personal information
First name:
*
Last name:
*
Contact phone number:
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Email:
*
What is your day job?
The organisation where you work?
What are you attending the hackathon to do? Check all that apply.
Work in a team that’s solving self-care
Please describe the expertise you will be offering:
When will you be available?
Friday Evening
Saturday Morning
Saturday Afternoon
Saturday Evening
Sunday Morning
Be a mentor
Please describe the expertise you will be offering:
When will you be available?
Friday Evening
Saturday Morning
Saturday Afternoon
Saturday Evening
Sunday Morning
Do you have any dietary requirements? Please tell us about them so that we can ensure there is food for you.
Dietary requirements:
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