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Event Registration for the Tapas Cooking Class

We look forward to meeting you! Please fill out the registration information below.

* Denotes a mandatory field. This information will only be used to better serve the UVA alums in the DC area by tailoring our events to meet our alums interests.

Gender:

*Name:

*Number of People (including you):

Home Mailing Address:

*City:       *State:      *Zip Code:

*Phone Number:

*Email Address:

Dietary Restrictions:

UVA School (Undergrad):

Year of Graduation (Undergrad):

UVA School (Grad):

If graduate program not listed above, describe:

Year of Graduation (Grad):

Profession:

Company of Employment: