Name:

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* 1. Name:

School:

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* 2. School:

Email:

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* 3. Email:

Please indicate all of the training dates you would be able to attend:

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* 4. Please indicate all of the training dates you would be able to attend:

  Monday-Wednesday Tuesday-Thursday Wednesday-Friday
The week of June 17
The week of June 24
The week of August 5
The week of August 12
We are aiming to select the best place for the training that will allow for the most attendees to participate. Please select all locations that would work for you:

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* 5. We are aiming to select the best place for the training that will allow for the most attendees to participate. Please select all locations that would work for you:

Please select all lodging options you would consider:

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* 6. Please select all lodging options you would consider:

Please provide any additional comments below:

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* 7. Please provide any additional comments below:

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