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WCLSC Leadership Conference Registration
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Number of Attendees
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1
2
Club/Organization Name
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Registrant 1 Dietary Restrictions
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Dairy
Peanut
Vegetarian
Other- Please describe in notes
Registrant 2 Dietary Restrictions
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Dairy
Peanut
Vegetarian
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Name- Registrant 1
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Last
Registrant 2
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First
Last
Email
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Email
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Club Role
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Phone Number
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Club Role
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