"2017 Partners In Action" Conference Registration Form
A Public Website Registration Form
Conference Location: Mystic Lake Casino and Convention Center - Prior Lake, MN. July 18th - 20th, 2017.
You will receive lodging information upon completion of this form.
Work Phone #
please use the following format 715 763-3166
Federal/Tribal Office, ie: (BIA, OST, Tribal Office, etc.)
Place of employment
What is your work place position title?
How did you register?
Web Registration - online
Attendee (Federal Employee)
Volunteer / Staff
Vendor / Exhibit / Booth
Please list any concerns or comments you may have below.
Conference or Consultation?
What is your reason for attending?
Is this your first Partners in Action Conference?
Authorization and Release - Photography
Still Photography, Video and/or Sound Recording, Printed Endorsements by the U.S. Department of the Interior's Bureau of Indian Affairs, Midwest Region (MR) for the following project: Partners in Action Conference. The MR shall own the full copyright and source materials produced for this conference, and resulting promotional products or ideas. I agree I will not receive compensation of any kind or in any form. I have read the above statements and am familiar with their content. I warrant that I am competent and of full age (18 years old or older) and have every right to contract in my own name in the above regard.
I agree to be photographed
I do not wish to be photographed
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