March 8, 2018

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

* 1. First Name

* 2. Last Name

* 3. Organization/Facility

* 4. Email Address

* 5. Work Phone Number

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

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

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

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