Northwest College Kickoff - Registration
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| Name
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| Email
*
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| Phone Number
*
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| Age
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| Are you currently a student? (this fall)
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Yes No
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| If yes, what is the name of your school, your major, and the year you are in?
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| If no, what are you currently involved in?
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| Are you driving to the workshop?
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Yes No It's a possiblitiy
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| If you are driving, do you have extra space in your car
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Yes No Not Sure
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| Will you be able to attend the whole workshop? (Thurs eve to Sunday 4pm)
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Yeah, for sure No, unfortunately
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| If no, please explain (include when you arrive and leave)
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| What is your reason for coming to the workshop and what do you hope to gain?
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| What are some of your goals or things you want to see happen this school year?
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| I agree to pay the $42 dollar fee when I arrive at the workshop, and gas to my driver.
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Yes, I agree
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| do you have any special dietary needs? Such as vegetarian meals or food allergies?
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| Do you have any questions concerning the workshop?
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Image Verification
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EMF Online HTML Form
EMF Online HTML Form