SALT Conference 2020
DATES: Friday, Jan. 17th- Monday, Jan. 19th (3 days)
COST: Early Bird Registration cost is ONLY $199!
Cell Phone Carrier
C Beyond (All Page Wireless)
C Spire (Cellular South)
Cellular One (Illinois)
Cellular One Nation
General Communiations Inc.
Manitoba Telecom Services
Southern Link Wireless
Straight Talk - AT&T
Straight Talk - Sprint PCS
Straight Talk - T-Mobile
Straight Talk - Tracfone
Straight Talk - Verizon
Virgin Mobile (US/Canada)
Unknown - I need help finding out
Emergency Contact First & Last Name
Emergency Contact Phone Number
What is your gender?
Whose small group are you in?
I am on staff
Chloë Bieda/Savannah Juetten
Ola Karecka/Hannah Hunt
Shelby Kutil/Amanda Norris/Blessing Ojo
Kenzie Meyerson/Marina Ramirez
Madison Mitchell/Emily Buss
Janae Mann/Madison Norton
Madi Shores/Sierra Welch/Maison Dipprey
Kelsa Katzfey/Brianna Maylone
Brianna Hockemeyer/Emily Kloeckner
Morgan Hulen/Taylor Broder
Hannah Tima/Kenzie Hughes/Meg Peine
Lauren Knuteson/Ellie Peterson/Emma Bolt
Lizette Salazar/Kayleigh Cleveland
Kim Olson/Megan Seefeldt
Cassy Rainwater/Tabitha Stacy
Allie Pickett/Mykayla Wollin/Lauren Peterson
Gretchen Leif/McKayla Becker/Carly Steele
Thomas Carlson/Dan Appleton
Matt Myszewski/Hunter Richmond
Grant Niebuhr/Jack Baumert
RJ Beal/Zach Hathcock/Broc Tolifson
Prince Montcho/Cole Rosenbush
Ian Shields/Christian Weis
We will accommodate rooms and rides for you! Are you able to attend the whole conference and depart from and return to Winona?
Yes, I am good to go!
No, I am not able to attend the whole conference
No, I am not able to depart from and/or return to Winona
If you answered "No" in the above question please explain why:
What time are you able to leave on Friday, Jan 17th?
Can you drive? If yes, how many including yourself. (For example: Yes, 5)
Food Preference: For the various meals provided, we are able to accommodate the following dietary restrictions. Please check below if you need either accommodation.
I understand that I am not fully registered until I have paid in full & signed my Winona State waiver
In consideration of being allowed to participate in any way in the Great Plains North Chi Alpha North SALT, I understand and acknowledge that this Waiver and Release discharges Great Plains Chi Alpha from any liability or claim that I, the attendee, may have against Great Plains Chi Alpha with respect to bodily injury, personal injury, illness, death, or property damage that may result from my activities and time spent at the Great Plains Chi Alpha North SALT. I also understand that Great Plains Chi Alpha does not assume any responsibility for or obligation to provide financial assistance or other assistance to me, including but not limited to medical, health or disability insurance, in the event of injury, illness, death or property damage. I also grant to [Great Plains Chi Alpha], its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject. I authorize [Great Plains Chi Alpha], its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that [Great Plains Chi Alpha] may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.
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