Which days will you be attending?
Do you have any dietary needs?
Gluten Free
Dairy Free
No Restrictions
Are there any reasonable accommodations you need to attend this workshop? (Optional)
Phone number
Upon submitting the form, we will call you to obtain credit card information in the event we need to charge a $50 cancellation fee if you register and do not attend. Please provide a phone number below.
Organization/Department/Unit Name
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