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* 1. Please indicate your contact information.

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* 3. Please confirm your current role at the local program:

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* 4. How many learners do you anticipate will join the watch party:

If you would like the adult learners to receive updates from COABE about the conference and would like for them to have the opportunity to join our community of practice, please visit the adult learner membership page to send your list to COABE.