"Civic Learning For A Stronger WV"
Free Registration, March 11, WV Supreme Court - State Capitol, 9:00 am-11:45 am (One registration per person, please.)
Name
First Name
Last Name
Email
example@example.com
School or Organization.
Role.
Please Select
Student
Teacher/Professor
Parent of Student
Other
If you selected "Other" as your Role, please identify.
Example: Director, Legislator, etc.
Box lunch will be available. Please list any dietary restrictions.
Will you be submitting a request for mileage reimbursement?
Please Select
Yes
No
Would you like to be added to the West Virginia Civics Coalition Email List?
Please Select
Yes
No
Submit
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