Event Registration

First Name: Last Name: District/Organization: CESA 4 District Building (if applicable, choose primary): N/A or District-Wide Alma Elementary Alma Jr/Sr High Lincoln Elementary (AC-H-M) Lincoln Jr/Sr High (AC-H-M) Arcadia Elementary Arcadia Middle Arcadia High Bangor Elementary Bangor Middle/High Forrest Street Elementary (BRF) Red Creek Elementary (BRF) Black River Falls Middle Black River Falls High Blair-Taylor Elementary Blair-Taylor Middle/High Cashton Elementary Cashton Middle/High Cochrane-Fountain City Elementary Cochrane-Fountain City High Prairie View Elementary (De Soto) Stoddard Elementary (De Soto) De Soto Middle De Soto High De Soto Virtual Ettrick Elementary (G-E-T) Galesville Elementary (G-E-T) Trempealeau Elementary (G-E-T) Gale-Ettrick-Tremp Middle Gale-Ettrick-Tremp High Hillsboro Elementary Hillsboro High Holmen Public Preschool Evergreen Elementary (Holmen) Prairie View Elementary (Holmen) Sand Lake Elementary (Holmen) Viking Elementary (Holmen) Holmen Middle Holmen High Independence Elementary Independence Middle Independence High La Crosse Offsite Preschool Emerson Elementary (La Crosse) Hamilton Elementary (La Crosse) Hintgen Elementary (La Crosse) Northside Elementary (La Crosse) Northwoods International (La Crosse) Southern Bluffs Elementary (La Crosse) Spence Elementary (La Crosse) State Road Elementary (La Crosse) Summit Environmental (La Crosse) Logan Middle (La Crosse) Longfellow Middle (La Crosse) Central High (La Crosse) Logan High (La Crosse) La Crosse Polytechnic SOTA I (La Crosse) SOTA II (La Crosse) Coulee Region Virtual Academy (La Crosse) Coulee Montessori Charter (La Crosse) La Farge Elementary La Farge Middle La Farge High Kickapoo Valley Forest (La Farge) Melrose-Mindoro Elementary Melrose-Mindoro Jr/Sr High Norwalk-Ontario-Wilton Elementary Brookwood High (N-O-W) Onalaska PreK Partner Eagle Bluff Elementary (Onalaska) Northern Hills Elementary (Onalaska) Pertzsch Elementary (Onalaska) Onalaska Middle Onalaska High Royall Elementary Royall Intermediate Royall High Southside ELC (Sparta) Herrman Elementary (Sparta) Meadowview Middle (Sparta) Sparta High Sparta Montessori Innovations STEM Academy (Sparta) SAILS (Sparta) Timber PUPS Learning Center (Tomah) Robert Kupper Learning Center (Tomah) Camp Douglas Elementary (Tomah) LaGrange Elementary (Tomah) Lemonweir Elementary (Tomah) Miller Elementary (Tomah) Oakdale Elementary (Tomah) Warrens Elementary (Tomah) Wyeville Elementary (Tomah) Tomah Middle Tomah High Tomah Area Montessori (TAMS) Viroqua Elementary Viroqua Middle Viroqua High Viroqua Area Montessori Vernon County Better Futures High (Viroqua) Laurel High (Viroqua) West Salem Elementary West Salem Middle West Salem High Coon Valley Elementary (Westby) Westby Elementary Westby Middle Westby High Whitehall Memorial Elementary Whitehall Memorial Jr/Sr High Wonewoc Elementary Wonewoc Jr High Wonewoc High W-C Virtual Academy (Wonewoc) Job Title/Position: Email: Phone: Full Address: Number of Attendees: Special Accommodations (dietary restrictions, allergies, interpreter, etc.)