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Strengthening Your DCAP: A Hands-On Workshop for District Teams - Ankeny

Thank you for your interest in the ICAN DCAP Team Building Workshop.

The Ankeny session will take place at the ICAN Ankeny Center, located on the DMACC Campus in Building 5.

Please complete the form below to register for the Ankeny session.

* Indicates a required field

Primary Contact First Name:

Primary Contact Last Name::

Primary Contact Email Address::

District Name::

Billing Address:

How many members will attend from your district?:

Names and Emails of Additional Members Attending:

Does anyone on your team have any dietary restriction? If yes, please explain.: