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* 1. Name (Last, First)

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* 2. What is the best email address to contact you regarding WeLearn?

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* 3. Please provide your Twitter handle.

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* 4. Please provide your blog address? (If Applicable)

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* 5. What district/organization are you affiliated?

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* 6. What is your billing address?

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* 7. Registration Intentions

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* 8. Check all that apply.

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* 9. How did you hear about WeLearn?

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* 10. If you checked Yorktown Community School Employee above, please provide the name.

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* 11. I am a first time Yorktown WeLearn conference attendee.

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* 12. I understand that once I hit "done", my registration information will be submitted. Detailed information will be shared with all registrants closer to WeLearn dates via the email address you provided.

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* 13. Do not answer this question. This is for official use only.

 

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