"North to the Future" - 2018 UAA Leadership Conference Registration Form
First Name *
Last Name *
Preferred Name (for Nametag) *
School Affiliation *
E-Mail Address *
Phone Number *
Are you interested in a specific track? *
Do you have any dietary restrictions? Please list them below. *
Do you need any accommodations in order to fully participate in the conference? Please list them below. *
We look forward to seeing you on November 3rd!
Any questions, please contact Kim Morton, Associate Director of Student Life and Leadership at kmorton11@alaska.edu or 907-786-1371.
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