Community SD Registration Form
Please answer all the below question accurately so we can communicate and ensure you have a great experience with our strategic design event. We truly appreciate your commitment to helping us design an ideal school system for all learners!!
* Required
Full Name
*
Your answer
Best Mailing Address
*
Your answer
Best Phone Number(s)
*
Your answer
Best E-mail Address
*
Your answer
I am willing to commit to the full 3 days of the event January 8th (4pm-8pm), January 9th (8:30am-3pm), & January 16th 8:30-12:30pm
*
Yes
No
I am representing the following stakeholder group...
*
Business
Faith Group/leader
Parent/Guardian
Community Leader/official
Student
Retirement Community
Town Saftey/Security (Fire, Police, etc.)
Other:
Required
Please check off any of the following needs you may have...
*
Computer/laptop
Zoom App Support
Headset
Wifi/Internet
Space to participate without interruptions
Other:
Required
Please record here any questions, ideas, or concerns you may have to ensure your experience is positive and productive through the Strategic Design Experience....
Your answer
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