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Teruel
Toledo
Valencia
Valladolid
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Zamora
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Sri Lanka
St. Pierre and Miquelon
Suriname
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Blekinge län
Dalarnas län
Gävleborgs län
Gotlands län
Hallands län
Jämtlands län
Jönköpings län
Kalmar län
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Norrbottens län
Örebro län
Östergötlands län
Skåne län
Södermanlands län
Stockholms län
Uppsala län
Värmlands län
Västerbottens län
Västernorrlands län
Västmanlands län
Västra Götalands län
Aargau
Appenzell-Ausserrhoden
Appenzell-Innerrhoden
Basel-Land
Basel-Stadt
Bern
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Phrae
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Tak
Trang
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Uttaradit
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Togo
Tokelau
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Trinidad and Tobago
Tunisia
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Afyon
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Yalova
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Artigas
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Guarico
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Western Sahara
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United States Minor Outlying Islands
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Zip Code
*
Country
*
Afghanistan
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Aruba
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Bolivia
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Canada
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Chad
Chile
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Christmas Island
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Congo, The Democratic Republic of the
Cook Islands
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Croatia
Cuba
Cyprus
Czech Republic
Democratic People's Republic of Korea
Denmark
Djibouti
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Dominican Republic
Ecuador
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Iraq
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Panama
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Sudan
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Sweden
Switzerland
Syrian Arab Republic
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Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Virgin Islands
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Ukraine
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United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
Phone Number
123-123-1234
Dietary Needs
*
No Dietary Restrictions
Vegan
Vegetarian
Gluten Free
Food Allergy (please provide further details)
We welcome participants with all abilities. To successfully participate in this event, which of the following assistance will you need?
*
None
Mobility
Vision
Auditory - I require closed captioning
Other
CCSSO will continue to adhere to applicable legal requirements, as well as CDC and other federal, state, and local health and safety guidelines, for each meeting location at the time of the event. For more information on the city of Atlanta's current Health & Safety protocols, please
click here
.
By selecting the box below, I acknowledge that I have read and will adhere to
CCSSO's Commitments to Health, Safety and Each Other
.
By selecting the box below, I acknowledge that I have read, signed and submitted
CCSSO's In-Person Activity Participation Acknowledgement (Employee)
-
(please click the link to read and sign the waiver in Jot Form)
Staff Acknowledgement
*
I acknowledge that I have read, signed and submitted CCSSO's In-Person Activity Participation Acknowledgement
PLEASE NOTE:
If you have not read and signed CCSSO’s In-Person Activity Participation Acknowledgement listed above, please do so before proceeding.
Emergency Contact Information
Emergency Contact Name
Emergency Contact Phone
I give the Council of Chief State School Officers, Incorporated, and its licensees, agents and assigns (hereinafter, "CCSSO," collectively)
,
permission to use, reproduce, print, and/or publish my name, likeness, image, voice, and/or appearance in any media, including, but not limited to, pictures, photos, audio and/or video recordings, digital images, and the like, taken or made on behalf of CCSSO
or at CCSSO’s activities (hereinafter, the "Materials"). I agree that CCSSO may use the Materials for any purpose consistent with its missions. These uses include, but are not limited to, illustrations, bulletins, exhibitions, audio and/or video recordings, reprints, news releases, reproductions, publications, advertisements, marketing campaigns, websites, social media pages and posts, and any promotional or educational materials in any medium now known or later developed, including the Internet.
I understand that CCSSO will have complete ownership of the Materials and acknowledge that I will not receive any compensation for CCSSO's use of my name, likeness, image, voice, and/or appearance in the Materials.
Photograph and Multi-Media Consent
*
By checking this box, I agree to CCSSO’s Photograph and Multi-Media Consent
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Arrival Date
Departure Date
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