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RPTI Registration

 

Organization/Municipality: : *
Professional/Job Title: : 
Name of Registrant: : *
Address: : *
Phone: : *
Email: : *
Dietary Restrictions:  : 
Anaphylactic Allergies:  : 

Do you require any additional accommodations to fully participate in the workshops? Please explain.

 : 

Is there someone you would like to share a room with? Please name them here.

 : 

 

Please Select the Training Workshops You Would like to Attend. Many Workshops Have a Maximum Number of Participants - All Workshops Are Available on a First Come, First Serve Basis.

 

  

 

 

 

Thursday, May 11th (Select One) OR .. : 

 

 

Thursday, May 11th (Select Two) : 

Friday, May 12th 

*If you select a workshop with (Part 1/2), you must also choose the same workshop Saturday.

 

Saturday May 13th 

 

 

Registration Selection: Please note, to select two options please hold down the CTRL button while selecting.

 

 : *

Who is the invoice to be made out to:

 : 
 Click "Submit" to complete your registration
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