PRESENTER INFORMATION
Please complete the following information exactly as it should appear in all conference materials including the final program and name badges.

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* 1. Primary Contact:

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* 2. Presenter Information:

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* 3. Is this presenter an adult or youth?

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* 4. Additional Presenters:

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* 5. Is this presenter an adult or youth?

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* 6. Additional Presenters:

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* 7. Is this presenter an adult or youth?

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* 8. Additional Presenters:

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* 9. Is this presenter an adult or youth?

PRESENTATION INFORMATION
Please complete the following information exactly as it should appear in all conference materials including the final brochure. Description for conference agenda is limited to 500 characters.

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* 10. Title of Presentation

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* 11. Description of Presentation:

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* 12. Workshop Format: Please pick one.

Room Set Up
All sessions will be set theatre style. If we can accommodate other requests (e.g. circle, classroom, etc.) we will try to do so, depending on room availability. Please request below.

Laptops will not be available in the rooms; please plan to bring your own and make sure to bring cords to connect to LCD projects in the room.

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* 13. AV Equipment Available: Please check if any are needed for your workshop.

Child Care Credits (SACC)
All sessions will be submitted for approval to provide SACC credits. Please upload your CV, bio and/or resume. Headshot optional.

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* 14. CV, Bio or Resume

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