Come to the Water Conference Registration

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Use the following form to register for the Come to the Water conference and apply for a scholarship.  Registration deadline is January 31, 2013.

Enter as appears on driver's licence/passport - for airfare purchase.

Enter as appears on driver's licence/passport - for airfare purchase.

Enter what you prefer for your name tag.

If you live on campus, use "3900 Lomaland Dr.".

(Cell Phone Preferred)

(Include extension)

Please answer in 200 words or less.

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