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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone Number

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* 5. Instructor Status?

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* 6. What tactical team are you associated with, for how many years, and your experience level/job duties onthe tactical team?

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* 7. What is your age?

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* 8. Licensure Level? Work Experience?

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* 9. What do you hope to get out of the conference? (Topics you want covered)

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