REGISTRATION Form Brookings 2014 Family History Workshop
Registration for Brookings 2014 Family History Workshop -- The data you submit here is done so privately and is entered in a private Google Doc which is not shared with the public or anyone else. *Live Speakers.  Others are RootsTech 2014 Sessions, pre-recorded.
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First Name *
Last Name *
Address *
City, State *
ZIP *
Email Address *
Enter "none" if you do not have an email address
Phone *
Prepaid Sandwich/Salad Lunch -$7.50 - 12:15 - 1:15
Checks payable to: BROOKINGS WARD; Mail amount before April 26 2014 to: Pat Walker, 22471 470th Ave, Colman, SD 57017
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Amount Enclosed (Checks Only by mail)
CHECKS Payable to: BROOKINGS WARD
Prepaid lunch Mailed
Date you mailed check
Session 1 - 8:50 am -- 9:50 am  Choose One
Session 2 - 10:00 am to 11:00 am -- Choose One
Session 3 - 11:10 am - 12:10 pm - Choose One
Session 4 - 1:20 pm - 2:20 pm Choose One
Session 5 - 2:30 pm - 3:30 pm Choose One
Any Food Allergies?
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Any other Special needs?
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