CRA 2010 Institute Registration

1. Enter Your Contact Information                        * required fields

First Name

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Last Name

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Home Address

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Address (line two)

City

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State

N/A AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY *

Zip

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Work Phone

Home Phone

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Home Email

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School District/Affiliation

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As you would like it to appear on your badge.

Position

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Friday, 8:30 - 9:30 am

1st Choice F-1 F-2 F-3 F-4 F-5 F-6 2nd Choice F-1 F-2 F-3 F-4 F-5 F-6 3rd Choice F-1 F-2 F-3 F-4 F-5 F-6

Friday, 1:30 - 3:00 pm

1st Choice F-7 F-8 F-9 F-10 F-11 F-12 F-13 2nd Choice F-7 F-8 F-9 F-10 F-11 F-12 F-13 3rd Choice F-7 F-8 F-9 F-10 F-11 F-12 F-13

Friday, 3:15 - 4:45 pm

1st Choice F-14 F-15 F-16 F-17 F-18 F-19 F-20 2nd Choice F-14 F-15 F-16 F-17 F-18 F-19 F-20 3rd Choice F-14 F-15 F-16 F-17 F-18 F-19 F-20

Saturday, 8:15 - 9:45 am

1st Choice S-21 S-22 S-23 S-24 S-25 S-26 2nd Choice S-21 S-22 S-23 S-24 S-25 S-26 3rd Choice S-21 S-22 S-23 S-24 S-25 S-26

Saturday, 10:00 -11:30 am

1st Choice S-27 S-28 S-29 S-30 S-31 S-32 S-33 2nd Choice S-27 S-28 S-29 S-30 S-31 S-32 S-33 3rd Choice S-27 S-28 S-29 S-30 S-31 S-32 S-33

Saturday, 1:15 - 2:45 pm

1st Choice S-34 S-35 S-36 S-37 S-38 S-39 2nd Choice S-34 S-35 S-36 S-37 S-38 S-39 3rd Choice S-34 S-35 S-36 S-37 S-38 S-39