2024 Bravo Behavioral Workshop Registration 
Please submit this form by 4/5/2024 if you would like to receive a discounted rate for your hotel reservations. Please submit this form by 4/25/2024 otherwise.
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Name *
Affiliation *
Are you:
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Which days of the workshop will you be attending? 

Please note that after registration, in the event that we are reaching capacity constraints, we will reach out for signups for the lunches. 
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There are several local hotels where you can book a stay. We have reserved some rooms that you can book at a discounted rate for the night of May 5 and/or the night of May 6. Would you like to receive that information?
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Do you have any food restrictions or allergies?
 Any other notes/comments?
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