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SUNY Purchase Workshop Registration
The free workshops at SUNY Purchase are for student and faculty participants who register to reserve a spot at least 24 hours in advance. SUNY Purchase student/faculty ID must be presented at the registration table prior to participating in the workshops - NO EXCEPTIONS.

Completion of this form certifies that you have read and agree to our Terms & Conditions, which can be accessed at https://goo.gl/hKsbWU

Please save the link to our Terms & Conditions for future reference.

Contact us at cnc.ny.usa@gmail.com or (845) 826-4511 with any questions or concerns.
Name *
Date of Birth *
MM
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DD
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YYYY
Phone # *
Email *
Emergency Contact *
Please list the name, relationship, and best method of contacting in case of emergency.
Disclosures
If there are any previous injuries, medical conditions, or anything the instructors should be aware of to ensure safe participation in the class, please describe here.
Which workshop(s) will you attend? *
Check all that apply.
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