2024 Wakonse Conference Registration
Please complete the following fields of information. Once submitted, you will receive a confirmation message that your registration was successful. Please refer to the www.wakonse.org website for further details
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First Name *
Last Name *
Classification *
Department *
Title *
Institution *
Cell Phone
Office Phone *
Email Address *
I prefer a lacto-ovo vegetarian diet.
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Any other dietary restrictions?
Type of Housing Required
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Emergency Contact Name *
Emergency Contact Phone *
Do you have special housing needs or other necessary accommodations? *
If yes, what are your needs?
Attendance *
Bringing Family or Guest
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Roomate? *
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