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Abogamos por la paz y la justicia a través de alianzas sólidas

Red de Hermanamientos de Cuba

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Steering Committee Registration

CPN Annual Gathering 2024

Reaffirming Hope Together

Registration Form

Contact Information

First name

Last name

Your phone

(dashes only)

Address

Address 2

City

State

Zip code

Your email

Gender (for roommate pairing purposes) *

Female

Male

Non-binary

Prefer not to answer

Clergy *

Yes

No

Your church

Your presbytery

Emergency contact

Relationship

Contact phone

(dashes only)

If partner/spouse from the same address will participate, please give her/his name

Spouse Name

Spouse phone

(dashes only)

Cuba Partner Information

PC(USA) partner

IPRC partner

Additional Information

Food/dietary restrictions

Do you need disability access? *

Yes

No

* Information required

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