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HIGH SCHOOL REGISTRATION FORM MARCH 28, 2014
Name of School: *
Address: *
City/State/Zip: *
Counselor Contact: *
Contact Phone Number: *
Fax Number: *
Contact Email: *
Estimated Number of Students (maximum 14 students per school):*
In order for all students to benefit from the workshop presentations, chaperones are requested to attend the sessions with the students.
School:  *         Contact: *        
Chaperone1: * Chaperone2: *


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Cancellation Policy: The Conference Planning Committee requests your help and commitment to ensuring that as many women as possible are able to attend this year's conference. If you are unable to attend the conference, PLEASE cancel your registration by sending send an email to rinehartk@umkc.edu to cancel or call us at 816.235.1079.
ALL CONFERENCE DATES ARE OPEN TO THE PUBLIC
REGISTRATION IS REQUIRED

THE WOMEN OF COLOR LEADERSHIP CONFERENCE | EMAIL: umkcwoclc@umkc.edu | PHONE: 816.235.1079 | FAX: 816.235.5588