Event Title: |
DONE-School Nurse Summer Institute |
Sub Title: |
Supporting Transgender Youth |
Agency: |
Wisconsin Dept. of Public Instruction |
Location: |
Holiday Inn at the American Center 5109 W. Terrace Drive Madison, WI 53718
|
Facility: |
Florida Southern Ballroom |
Date/Time: |
8/9/2019 |
08:30 AM - 03:30 PM |
|
|
* First Name: |
|
* Last Name: |
|
Preferred Badge First Name: |
|
* Organization Type:
|
|
Agency/Organization/School District
*
My Organization is not listed above. I want to enter my Organization.
|
|
Individual/Parent/Other
|
|
* Email: |
* This will be your login ID
|
* Confirm Email: |
|
* Password: |
(must be at least 6 characters long)
|
* Confirm Password: |
|
* Position / Title: |
|
* Phone Number: |
Ext.
|
Fax Number: |
|
* Do you Require Special Accommodations? |
|
Home Address: |
|
Home City: |
|
Home State/Country: |
For United States and Canada: |
|
For Other Countries: |
|
|
Home Zip: |
|
Home Phone: |
|
Cell Phone: |
|
Home Email: |
|