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* 1. Name / Contact Information:

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* 2. Please pick the designation that fits you the best:

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* 3. What is your organization type?

Registration:
The Governor’s Office of Emergency Services, Listos California campaign is excited to bring back Disaster Ready Summit workshops this year. This all day training will provide participants with the tools and connection to help prepare communities to respond to disaster needs and build resilience in California’s most high-risk areas. We recommend selecting the Disaster Ready Summit workshop located nearest the region that your organization serves for the best regional based education and networking opportunities.

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* 4. Please select the day you plan to attend:

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* 5. Do you have any dietary restrictions?

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* 6. Do you require reasonable accommodations?

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* 7. Will you need interpretation services?

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* 8. What do you hope to get from attending this summit?

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* 9. Have you been to a training/event from Listos California?

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* 10. Anything else you would like to share with us?

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* 11. Photo Release Statement:
I consent to the unrestricted use by the California Office of Emergency Services (Cal OES), Listos California, and Valley Vision Inc., or their authorized representatives, to capture photographs, recordings, interviews, videos, and other multimedia of myself in connection with this event. I understand that my image may be edited, copied, exhibited, published, or distributed by Cal OES, Listos CA, and Valley Vision Inc., and I waive the right to inspect or approve the final product in which my likeness appears. Additionally, I waive any claim to royalties or other compensation related to the use of my image or recording. I also understand that these materials may be displayed electronically via the Internet or in public educational settings. This release is valid indefinitely, and there are no geographic limitations on the distribution of these materials.

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