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Unified Work Mobile Academy | New Richmond

Name: Unified Work Mobile Academy | New Richmond
Start: 2022-10-10T09:00:00-05:00
End: 2022-10-10T15:00:00-05:00
Location: In-person

October 10-12, 2022

Time: 9:00 am - 3:00 pm

Location: Rise New Richmond | Google Maps
650 St Croix Ave.
New Richmond, WI 54017

Fun & interactive class that develops and enhances the career skills you need to join the workforce and advance your career.

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Participant Name*

First Last

Email Address*

Phone Number*

T-Shirt Size*

Please list any needed accommodations that will help you be successful in the class:

Will you be bringing a support person?*

(If you feel you are unable to successfully and safely participate independently, please plan to bring a support person with you!)

Yes

Do you have any significant medical issues, food allergies, etc. that the trainer(s) should be aware of?*

Yes

Please describe:*

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone Number

Do you voluntarily grant permission to MDI/Unified Work and its agents, officers, employees, and all related persons or entities to photograph me, take motion pictures, take video footage of me and/or take electronic sound recordings of me (collectively, “electronic matter”) as well as the unrestricted right to reproduce said electronic matter of me for the purpose of publication, republication, promotion, illustration, advertising, trade, and all legitimate business purposes in any manner or in any medium both during and after my participation in MDI/Unified Work activities.*

Yes

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