Attendee Registration - 2023

The NW CIT Regional Conference on May 23-24, 2023, will be held at the Conference Center in Seaside Oregon. All attendees are provided a complimentary ticket to the awards dinner banquet dinner.

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* 1. Registration Type (read all options carefully)

Main Conference | May 23-24 | $350 per person

King County attendees | Fees Waived

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* 2. Attendee Registration Details

First Name

Middle Initial

Last Name

Agency Name

Agency City

Agency State

Agency Zip Code

Email - Work

Email - Alternate

Cell Phone Number

Rank or Title

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* 3. Will you be submitting to be a presenter?

Yes

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* 4. Food Options

Dairy Free

Gluten Free

Regular

Vegetarian

Food Allergy (please specify)

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* 5. Agency Type

Behavioral Health

Community Resource

Corrections

Educational Institution

Fire/EMS

Law Enforcement

Other (please specify)

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* 6. Guests Add-Ons

Guest Banquet Ticket | $50 per person

Guest Full Name

Guest Food Option (Dairy Free, Gluten Free, Regular, Vegetarian)

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* 7. Billing Details (Agency will be invoiced after the conference)

Agency

Street Address

City

State

Zip Code

Phone

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* 8. Registration check-in date

May 22

May 23

May 24