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Conference Registration

Holiday Inn East

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2011 Mid East Regional AYP Registration

Personal Information
(Enter your personal information as you would it like to appear
in the official conference participant roster.)
* = Required Field
First*:    Last*:   

Nickname on your name tag:   

YMCA*:    Branch:   

Job Title:    Years of YMCA Employment:   

Address:    City:    State:    Zip:   

Phone*: --   Email*:    Publish Email: 

AYP Member?*     AYP Chapter #:    AYP Mmb #:   
Workshop Selection (Pick One Each Round)
RND 1: Leadership Competencies Later Career Continuing Education
RND 2: Non-Traditional Career Tracks Social Media Do's and Don'ts