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Step 1 - Personal Information

All fields must be filled in
Title:
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Country:
Phone:
E-mail address:
Will you require CEU's?
Dietary Restrictions:







Division:
Corps:
Program:

Emergency Contact:
Emergency Phone:




Step 2 - Attendance Type



Attendance Selection:







Step 3 - Pre-Conference Seminars/Conference Workshops


Pre-Conference Seminar:
      Seminar:
Workshops


Choose the workshop or seminar you would like to attend during each of the designated sessions.
Wednesday

Workshop 1 - Wed, 8:15 - 9:45:
Workshop 2 - Wed, 10:15 - 11:45:
Workshop 3 - Wed, 2:15 - 3:45:
Workshop 4 - Wed, 4:00 - 5:30:

Thursday
Workshop 5 - Thu, 8:15 - 9:45:
Program Interest Discussions - 10:15 - 11:30:
Not Applicable





Step 4 - Registration Fees






Total Due:

$0

















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