registration for SHiFT'23

Registration is $795.

First Name*

Last Name*

organization / affiliation*

email*

phone number

GENDER identity

prefer to self Describe

food restrictions (please list restrictions)

accessibility needs (please list needs)

emergency contact name and phone number

PeopleForBikes may share my name, title, organization, and contact information with attendees of SHIFT’23. Clicking this box will not permit PeopleForBikes to share this information with outside entities or organizations outside the use of SHIFT’23 communications.Waiver: Please text me with updates for SHIFT’23. Clicking this box will not permit PeopleForBikes to send text messages for any communications except for SHIFT’23 attendees. You may unsubscribe at any time.Waiver: I agree to receive PeopleForBikes email communications after the event.I acknowledge that I read and agree to PeopleForBikes’ Privacy Policy.*I agree to abide by PeopleForBikes' Code of Conduct during Shift '23.*

create a password*Creating a password will allow you to change any of your registration information before the event.

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