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New registration for My SDRS Personal Information

All fields marked in Bolded Red and with the (*) are required information that must be filled out to successfully register for the seminar or workshop. All registrations will be processed in the order in which they are received. When the seminar or workshop is full it will be removed from this form and registrations will no longer be accepted. After your registration has been processed you will receive a confirmation letter to bring to the seminar or workshop.

NOTE: Please provide us with either your Social Security Number OR your SDRS ID.
 
First Name: *
 Last Name: *
Enter Your Social Security Number OR Your SDRS ID (not both)
Your Social Security Number: *
OR

 (Example: 123456789 No dashes or spaces)
Your SDRS ID: *
(Example: R123456)
Number of Persons Attending: *
Contact Phone: *

(Example: (605) 123-4567)
Email Address:

Choose The Seminar or Workshop Location You Plan to Attend:

 

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