LRWA Board Member Conference Questionnaire

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Board Member Name *

Hotel Room Arrival Date (Annual Meeting Monday 7/15/19 at 1:30pm) *

Monday, 7/15/19 (already reserved)
Change to Sunday, 7/14/19

Hotel Room Depature Date *

Thursday, 7/18/19
Other

If OTHER please type Depature Date

Will you have spouse/guest/children attending conference with you? *

If YES please type names of spouse/guest/children in space below

Will you be attending the Annual Membership & Board Meeting – Civic Center -Mon, July 15 at 1:30pm 2nd floor Contraband Room *

Will you be attending the MONDAY, July 15 night dinner at the L'Auberege Hotel (1st floor). If arriving Sunday you will be on your own for meals, LRWA does not have any meals scheduled. *

A meal will be provided for board members, staff and their family on Monday, July 15 at the L’Auberge Casino Hotel in the Sycamore Room A . The social will begin at 6:00pm and dinner will be served at 6:30pm.

# people attending Monday, July 15 night dinner at hotel (including you - needed for meal count) *

Will you be attending the Wednesday, July 17 Awards Ceremony? *

# of people attending Awards (including you - needed for meal count) (copy) *

Classroom Registration: LRWA Board Members receive complimentary registration to classes

24 Hour Technical Sessions (sessions available for Water, Wastewater, Management) [Tue & Wed 8:00am-5:00pm and Thu 8:00am-1:15pm]]
32 Hr Certification Water Level 1 & 2 [Mon; Tue, Wed & Thu 8:00am-5:00pm]
32 Hr Certification Water Level 3 & 4 [Mon; Tue, Wed & Thu 8:00am-5:00pm]
32 Hr Certification Wastewater Level 1 & 2 [Mon; Tue, Wed & Thu 8:00am-5:00pm]
32 Hr Certification Wastewater Level 3 & 4 [Mon; Tue, Wed & Thu 8:00am-5:00pm]
Monday Day Pass - not attending classes
Tuesday Day Pass - not attending classes
Wednesday Day Pass - not attending classes
Thursday Day Pass - not attending classes

Name