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Personal Information
*First Name: MI: *Last Name:
*Email:
Title/Position:
Organization Name:
School and/or District:
*Are you a UWM Faculty/Staff/Student?:  Yes     No
 
*Address Type:
 Business Address     Home Address
*Address 1:
Address 2 (optional):
*City, *State, *Zip:
     
*Area Code & Phone:
 
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Comments:
Copy primary information as Team Member 1:
 
If you plan to attend, please click here to copy your information below as Team Member 1.
*Registering As:
Individual
Please complete the following registration. For an individual, please complete the following individual registration.
OR
Team - # of Team Members:
For a team, please complete the following registration for team member 1, and click the 'add team member' button following entry of each team member's registration information. There is a maximum of 15 members on a team.

Team Member 1
*First Name:
MI:
*Last Name:
*Email Address:
Title/Position:
Organization Name:
School and/or District:
*Are you a UWM Faculty/Staff/Student?:  Yes     No
*Area Code & Phone (daytime):
 
  Ext:
nnn
 
nnn-nnnn
      
nnnnn
*Address Type:
 Business Address     Home Address
*Address 1:
Address 2:
Special Accommodations/Dietary Restrictions:
Comments: