March 8, 2018

Please complete this form to register. Contact Rachel.Sehr@state.sd.us with any questions.

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* 1. First Name

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* 2. Last Name

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* 3. Organization/Facility

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* 4. Email Address

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* 5. Work Phone Number

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* 6. In case of inclement weather, please provide an alternate phone number where you can be reached.

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* 7. Do you have any dietary restrictions or additional comments?

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* 8. Would you like your work contact information included on the contact list that will be shared with meeting participants?

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