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* 1. Please enter your NAME: LAST Name.

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* 2. Please enter your NAME: FIRST Name.

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* 3. Please enter the COUNTY you teach in.

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* 4. Please enter the SCHOOL you teach in.

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* 5. Please enter your EMAIL ADDRESS.

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* 6. Please check the GRADE LEVEL(S) you teach.

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* 8. Please enter the NAME of the WORKSHOP you're attending.

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* 9. Please enter the DATE of this WORKSHOP.

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