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2023 Annual Leadership and Professional Development Seminar
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Participant Information Form
This form must be completed prior to March 30th to ensure you are able to register for classes April 22-24, 2019.
Only continue with this form if your participant space for the 2019 Annual Leadership & Training Seminar has already been paid for by your organization and your organization has received confirmation from the AWAG Treasurer.
If you want to confirm if you have been sponsored by an organization - please email Brietta Lowman at
registration@awagleadership.org
.
Thank you!
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Indicates required field
Name
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Contact Email
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Contact Phone Number
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Sponsoring Organization
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Please note which organization is paying your participant fees.
Emergency Contact Name
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Emergency Contact Phone (please include area code)
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I have requested and paid for a single supplement.
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Yes
No
I am a
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Female
Male
This question is for rooming purposes.
Please pick a roommate for me.
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Yes
No
If No, Name of Requested Roommate
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I have a valid DOD ID card.
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Select One
Yes
No
If not, please email a copy of your passport to registration@awagleadership.org no later than April 5, 2017 to ensure access to Edelweiss Lodge and Resort during Seminar.
I am a prior AWAG Board of Governors member.
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Select One
Yes
No
I am currently serving as a
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Select One
Key Spouse
Key Spouse Mentor
FRG Leader
Ombudsman
N/A
I am / my spouse is currently serving as an O-5 or O-6 in command or their enlisted E-9 counterpart.
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Select One
Yes
No
Optional Demographic Questions:
I am a
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Military Spouse
Active Duty
Civilian
Retiree
Other
Age Range
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18-25
26-30
31-35
36-40
41-45
46-50
50+
Military Branch
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Air Force
Army
Coast Guard
Navy
Marines
Government
How did you hear about us?
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I have attended Annual Seminar before.
I attended an Area Seminar.
AFN
awagleadership.org
Private Organization
Stars & Stripes
Facebook/Instagram
A Friend/Community Rep
Other
I am replacing a participant from my organization that previously signed up.
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Yes
No
If yes, please enter participant name here:
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Special/ Medical/ Dietary Needs
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Additional Comments
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PHOTO RELEASE STATEMENT: I hereby grant AWAG permission to use my likeness in a photograph in promotional material, on the AWAG website and in social media maintained by the organization without payment or any other consideration. This voluntary grant and release will not be made the basis of a future claim of any kind against AWAG, United States Government and its agents, officers, servants, and employees when acting in their official capacities; and to persons, firms or corporations contracting with the United States Government, and their heirs, executors, administrators, successors, or assigns; and to any other persons lawfully reproducing, distributing, exhibiting, or otherwise using the said production or any portion thereof.
Please review the information below. If correct, please click the Register button to complete your registration.
Complete Registration