Gay Games IX 2014 Interest Form

GayGames IX Cleveland 2014 Expression of Interest

Thank you for your interest in Gay Games IX 2014. After completing this form, you will receive updates and news about Gay Games IX, which will be held in Cleveland and Akron, Ohio, USA, in August, 2014.

In particular, by signing up here, you will be informed when early registration for Gay Games IX opens, and you will be invited to register with preferential rates.

Thanks for your interest in Gay Gamex IX 2014 !

-- Federation of Gay Games and Cleveland Special Events Corporation

Note: Questions prefaced by an asterisk (*) are required.

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* 1. Last Name/Surname/Family Name:

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* 2. First Name/Given Name:

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* 3. Street Address (line 1):

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* 4. Street Address (line 2, optional):

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* 5. City:

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* 6. State or Province if applicable (USA, Canada, Australia) otherwise select "not applicable" :

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* 7. Country/Nation:

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* 8. Postal or ZIP Code:

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* 9. Email Address:

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* 10. Preferred Telephone Number (including country code, for example: +1-415-999-9999)

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* 11. Date of Birth: Date/Month/Year (example: 25 / 03 / 1982)

(numerics)

Date

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* 12. Personal Racial/Ethnicity:

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* 13. Gender:

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* 14. I am primarily interested in participating in the following event:

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* 15. I am also interested in participating in the following event:

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* 16. (optional) I would be interested in the following sports or culture events that are not currently planned for Gay Games IX:

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* 17. At Gay Games IX in 2014, I plan to participate in the following role:

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* 18. I would also like to participate in the following additional role:

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* 19. Do you have any other questions or comments for the Federation of Gay Games or the hosts of Gay Games IX in Cleveland?

Thank you for your interest in Gay Games IX 2014.

100% of survey complete.