WIS Registration Form

Name*

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Please check all dietary restrictions that apply:*

No dietary restrictionsDairy FreeGluten FreeNo Red Meat (Beef, Lamb, Pork)Peanut and Tree Nut AllergyPescatarianShellfish AllergyVegetarianOther
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I have an allergy not listed. Please contact me.I keep a strict Halal diet and will require a Halal meal.I keep a strict Kosher diet and will require a Kosher meal.I keep a strict Vegan diet and will require a Vegan mealI keep a Halal/Kosher/Vegan diet but will eat your standard vegetarian meal.
Do you have ADA accessibility needs?

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Please provide accessibility requests (such as need for a ramp, or seating in front of room due to visibility issues)
I want to receive my organization's Work Innovation Score summary at The Work Innovation Summit.

Yes
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