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Thank you for your interest in attending our web conference, Moving Power: Authentically Engaging Youth in the Community to Prevent Sexual and Intimate Partner Violence. Unfortunately, we reached our seat capacity within hours of opening registration. The web conference will be recorded and we will email you with a link to view as soon as it becomes available. Additional web conferences will be offered soon -- we hope to connect with you then! Questions? Contact us at info@preventconnect.org

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Title

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* 5. Agency/Organization Name

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* 6. Are you representing a state health department who receives RPE funds, or a state coalition who receives DELTA funds from the Centers for Disease Control and Prevention?

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* 7. All who are registered for this web conference will automatically be added to our mailing list. If you do not wish to be added to our mailing list, please type "no" in the box below.

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