Counselors Council
April 12, 2018
9:00 am - 1:00 pm
at Southwest Plains Regional Service Center
810 W. Lark Avenue, Sublette
Your District Number *
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Your District Name *
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Building Name *
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First Name *
of the person who will be attending
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Last Name *
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Work Phone *
ex. xxx-xxx-xxxx
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Cell Phone *
(Please provide a number where you can be reached OUTSIDE of school hours)
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E-Mail Address *
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How did you hear about this workshop? *
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Who will be paying the registration fee? *
In person or virtual attendance *
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