Please complete this form to be registered for EmpowerU training - Empowering Citizens to Engage Decision Makers in Invasive Species Management. Learn how to work with decision makers, influence management decisions and stop the spread of invasive species!
First Name *
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Last Name *
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Email Address *
If you have an email address from UW Madison (XXX@wisc.edu), please use it here. This will help us with the on-line learning registration. If not, please use your regular email address.
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County of Residence *
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Which in-person workshop will you attend? *
The Madison (3/30/19) workshop is FULL. Please only mark this option if you wish to be placed on a waiting list for a potential opening or potential new workshop (to be determined) in the future.
Will you be able to complete approximately 8 hours of online training prior to attending an in-person workshop? *
How did you hear about the training? *
Lunch and refreshments will be provided free of charge during the workshop. Please list any dietary restrictions.
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Media Release *
By registering for this event, I confirm that I am at least 18 years old, and I agree to and understand the following: I agree to grant the Board of Regents and University of Wisconsin-Extension (herein after University), its advertising agency, licensees, and producers of its educational and promotional materials and their successors and assigns, the right to use, publish, and copyright my picture, voice, and/or moving image for educational programs, advertising, and promotion of University programs. I understand that this right includes the right to combine my picture, voice, and/or moving image with others and the right to alter any of these for the purpose described above. I also understand that once my picture, voice, or moving image is placed on a University of Wisconsin website, CD-ROM, or other form of media, including electronic, it may be viewed or used on or off campus. I agree to release the University and all of its officers, employees, and agents from any liability claims and costs of whatever kind that occur in connection with my actions while being photographed or recorded for the University.
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