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Registration: Region 6 Perinatal Quality Coordinator Town Hall

1.Type your first and last name.(Required.)
2.Type your email.(Required.)
3.I plan to attend in person at the main site or satellite location. (Required.)
4.Which location do you plan to attend?
5.Lunch is included in your registration.  Please indicate if you will be joining us for lunch. Please leave a comment for any dietary restrictions. We will do our best to accommodate.
6.Which county do you live and/or work in?
7.Are you attending as a community member or on behalf of an organization?
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