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Instructions:

Complete the following form listing only one location and/or date per form. Select the Submit button to receive a Workshop Registration Confirmation.

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Please indicate your choice of Location and Date:

List only one location * per registration. If you need to register additional staff for another location and/or date, please submit a new Registration Form.


Name(s) of individual(s) attending:

1. First Name * Last Name * E-mail
 
2. First Name Last Name E-mail
 
3. First Name Last Name E-mail
 
4. First Name Last Name E-mail
 
5. First Name Last Name E-mail
 


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