2023 WI AWRA Registration Form

2023 Wisconsin AWRA Registration
Is this an individual or group registration?*

IndividualGroup
Full name of registrant or person to receive invoice*

First NameLast Name
Email for Invoice*
Please note: For group registration individual registrants will not receive email confirmations or registration.
Institution / Company*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Individual Registration
Meal Preference*

OmnivoreVegetarianVegan
In an effort to reduce waste, we are asking if you would like a full printed program, or a smaller booklet with just the schedule.

Full program with abstractsBooklet with just schedule
Would you like to attend the Friday WICCI Working Group Meeting? ($15 for lunch)

YesNo
Are you a student?*

YesNo
Would you like to volunteer to be a student helper? (at the conference, all student helpers will be refunded the cost of registration)*

YesNo
Would you like to attend the Friday Student Luncheon?*

YesNo
Do you need a Professional Development Hour certificate?*

YesNo
Are you a willing to be a moderator?*

YesNo
Are you a willing to judge a student presentation?*

YesNo
If you selected yes for being willing to moderate and/or judge, what do you consider to be your area of expertise? (please select all that apply)*

Surface waterGroundwaterModelingWater quality
Would you consider being nominated for a position on the Board of Directors, or would you like to nominate someone else for a position on the Board of Directors? Please list your nomination(s) below (name and email). Please note, students are not eligible to be a member of the Board at this time.
Most board members find the commitment to be fairly minimal (1 conference call, 1 on-site meeting prior to the annual meeting, 1 board meeting at annual meeting). Board members must reside in Wisconsin. A description of board member duties can be found here: https://www.wisconsinawra.org/uploads/1/2/5/2/125242673/awra_officer_duties.pdf
Please click here to confirm that you have read and agree to Wisconsin AWRA's Code of Conduct.*

I have read and agree to the Code of Conduct
Click here to view Wisconsin AWRA's Code of Conduct
Group Registration
STUDENT REGISTRATION Registrant info: Please indicate registration type, meal preference, if student will attend the student luncheon on Friday, and if student will be a student helper.
GENERAL REGISTRATION Registrant info: Please indicate registration type, meal preference, if registrants need a Professional Development Certificate, is willing to judge a student presentation, is willing to be a moderator, and registration for the WICCI Working Group meeting.
Would anyone in your group consider being nominated for a position on the Board of Directors, or would anyone in your group like to nominate someone else for a position on the Board of Directors? Please list your nomination(s) below (name and email). Please note, students are not eligible to be a member of the Board at this time.
Most board members find the commitment to be fairly minimal (1 conference call, 1 on-site meeting prior to the annual meeting, 1 board meeting at annual meeting). Board members must reside in Wisconsin. A description of board member duties can be found here: https://www.wisconsinawra.org/uploads/1/2/5/2/125242673/awra_officer_duties.pdf
Please click here to confirm that you and everyone registering in your group have read and agree to Wisconsin AWRA's Code of Conduct.*

All registrants in my group have read and agree to the Code of Conduct
Click here to view Wisconsin AWRA's Code of Conduct
Payment

Please select the number of registrations that you are paying for. After you click the "Register" button, you will be taken to PayPal to complete your payment.
Select options for payment*
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General Registration (via PayPal)$180.00

Number of General Registrants
Item subtotal:$0.00

Student Registration (via PayPal)$100.00

Number of Student Registrants
Item subtotal:$0.00

We will bring a check to the conference. $ Free

WICCI Working Group Meeting Registration$15.00

Number of WICCI Working Group Meeting Registrants
Item subtotal:$0.00

Total $0.00
Any additional comments or questions?
If you have any problems, contact Mitch Olds at Molds@mmsd.com.
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2023 Wisconsin AWRA Registration

Individual Registration

Group Registration

Payment