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* 1. Name:

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* 2. Preferred name:

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* 3. Pronouns:

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* 4. If you will be accompanied by a support person, what is their name? 

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* 5. Are you an Equity member? (It’s ok if you’re not, we welcome everyone from the wider arts community to kōrero, it’s just helpful for us to know.)

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* 6. Email address:

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* 7. What is your discipline? Eg actor / dancer / writer / director / producer / other. Feel free to list all that apply

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* 8. Do you have any access needs for attending the hui?

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* 9. Do you have any sensory needs that you’d like us to know about? 

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* 10. Would you benefit from having an NZSL interpreter at the hui?

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* 11. Do you feel comfortable speaking / communicating in front of a group?( If not, no worries, we will have opportunities to chat one-on-one )

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* 12. Do you have any comments you’d like to share about how Equity could best support d/Deaf, disabled and neurodivergent arts practitioners?  (It’s ok if you don’t have any comments right now, there will be plenty of opportunities to share ideas at the hui. )

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* 13. Do you feel comfortable sharing food?

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* 14. Do you have any dietary requirements?

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