1. Registration Page

Please Note: The cost is $60.00/registrant by August 21 and $65.00/registrant thereafter.

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* 1. First:

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* 2. Last:

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* 3. Title - Optional (e.g. Ms., Mr., Sr., Rev.):

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* 4. Position (check all that apply)

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* 5. Age Category

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* 6. Gender

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* 7. Email:

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* 8. Parish or school staff members, please select your organization and go to #15:

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* 9. If you are registering as an individual, please complete #9-14.

Street Address:

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* 10. City:

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* 11. State:

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* 12. Zip:

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* 13. Phone, including Area Code:

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* 14. If you are coming with a group of private individuals and one is paying online for your group, please list the contact name so we can track who paid for your registration.

Note: Learning Sessions must be selected in order for your registration to be processed.

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* 15. Choose a Workshop for Session One

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* 16. Choose a Workshop for Session Two

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* 17. I would be willing to volunteer to...

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* 18. Please list any special needs: (e.g. dietary, ASL, etc.)

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