Personal Information - 2026 Enriching Your Retirement (EYR) - Wisconsin

Enriching Your Retirement – Diocese of Wisconsin

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Personal Information

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* First name

* Last name

* Email address

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* Emergency Contact Name

* Emergency Contact Phone

* Any dietary restrictions?This question is required.

Food Allergy (Please specify)
Vegan (no meat, seafood, dairy, eggs, & honey)
Vegetarian (no meat & seafood)
Pescatarian (will eat fish/seafood, but no pork, red meat, or poultry)
Gluten-Free
None
Other

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Please let us know detailed information regarding your food and/or gluten allergies such as severity if exposed. If it's a dietary preference, please list "Preference".

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Please list your special dietary needs:

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To successfully participate in this event, are there any accommodations you require? (i.e. communications formats/aids, accessibility and mobility considerations, lactation room, gender neutral bathroom, etc.)

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Yes
No

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Please list your accommodation requests:

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