lived experience - conference ticket waiver form NAME * First Name Last Name PHONE * (###) ### #### EMAIL * WHAT ISLAND WILL YOU BE TRAVELING TO THE CONFERENCE FROM? * Island Of Hawai'i (BIG ISLAND) Maui Moloka'i O'ahu (no travel) Kauai OTHER WHAT DAY OF THE CONFERENCE DO YOU PLAN TO ATTEND? * DAY 1 (Thursday, November 14) DAY 2 (Friday, November 15) BOTH DAYS HOW MANY PEOPLE IN YOUR PARTY? * PARTY MEMBER NAMES * Please list the First and Last names of each member of your party: I CONFIRM THAT I HAVE LIVED EXPERIENCE. YES NO Thank you!
