What is your T-Shirt size? (Virtual Participants will not receive a T-shirt)
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Describe your role as a conference participant *
Are you currently employed by RPS? *
Email Address
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Race
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Which sessions are you interested in during our breakouts? *
Required
Are you interested in employment or meeting with one of our Talent Acquisition Specialist? You will be sent an additional registration form.
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Are you interested in taking one of our free CPR courses for licensure during the Conference? You will be sent an additional registration form (Spaces are very limited).
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Emergency Contact *
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Emergency Contact Phone Number *
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Any Dietary Restrictions *
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Would you like to subscribe to the RVA Teach Men Newsletter? *
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