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About CAIS >  Events >  Registration Forms >  SDLC 2013 >  SDLC FIRST REGISTRANT > 

Student Diversity Leadership Conference

April 21, 2013
Taft School, Watertown, CT
 
 
School Name
(You may want to copy the school name that you enter so that you can paste it onto additional registrant forms)
Contact Point Email *
Please enter name of first registrant below.  You will have an opportunity to add additional registrants after submitting this form.
First Name
Last Name
 Student  Adult
Title or Grade Level
# of previous times attending (complete this section for students only)
Enter 1 in the box at right  @ $230.00
Form Total: $0.00
For information about registration contact: Diane Brewer, CAIS, (860) 572-2950 or d_brewer@caisct.org

28A Cottrell Street, PO Box 159,
Mystic, CT 06355
P: (860) 572-2950 F: (860) 415-0835
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