GBTP Special Event Sign-In Form.This form should be filled out by anyone in attendance at any GBTP special event. Name * First Name Last Name Date of Birth MM DD YYYY Role Please select the one that most closely applies. Instructor Survivor Individual in Active Treatment Caregiver Community Member Other Special Event Name Ex. GBTP Holiday Party Special Event Date Ex. Today's Date MM DD YYYY Attendance Type Please select how you are attending the event. On-site (in-person) Internet (virtually online) Telephonically (call-in) Other Special Event Location Please select the location of the special event. GBTP Office Zoom (Online) UNCW Wilmington Convention Center Other Thank you!