Thursday, June 28, 2018  6:00pm - 8:00pm Chicopee Comprehensive High School

Thank you for registering for the Greater Springfield Regional Meeting, Thursday, June 28, 2018, at the Chicopee Comprehensive High School. If you have any comments not covered in this registration form, or need special accommodations, please contact Arreen Andrew at arreen.andrew@art.state.ma.us or 617-858-2721.

Municipalities in Greater Springfield Region:
Agawam
Blandford
Brimfield
Chester
Chicopee
East Longmeadow
Granville
Hampden
Holland
Holyoke
Longmeadow
Ludlow
Monson
Montgomery
Palmer
Russell
Southwick
Springfield
Tolland
W. Springfield
Wales
Westfield
Wilbraham

 




First Name

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* 1. First Name

Last Name

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* 2. Last Name

Email Address

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* 3. Email Address

Which best describes your affiliation?

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* 4. Which best describes your affiliation?

Which municipality do you represent?

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* 5. Which municipality do you represent?

Do you have any dietary restrictions?

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* 6. Do you have any dietary restrictions?

Do you have any accessibility requests or needs we should be aware of?

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* 7. Do you have any accessibility requests or needs we should be aware of?

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