iDEFEND General Assembly and I-ACT Campaign Planning Workshop

Participant

First Name

Last Name

Signal Phone Number

Gender

Pronouns

Representation

Individual

Organization Representative

Designation

Participation

Physical

Online

Dietary Requirements

Dietary Requirement Details

Can you attend both activities?

Yes, I can attend for 5 days (GA and campaign workshop)

No, I can only attend 3 days (GA only)

Notes

Do you have any concern? Please let us know.

Organization

Organization Name

City

Country

Website