Professional Registration Form
Contact Information
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Last Name
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Password
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Confirm Password
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Mobile
Additional Information
If you are a citizen of the European Union, we will need your consent under the General Data Protection Regulation (GDPR) to collect all registration information.
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Please select ‘Yes, I agree’ to consent to sharing your information.
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I am a citizen of the European Union and, yes, I agree.
I am a citizen of the European Union and I do not agree and will not register.
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Please select the level that best describes the majority of the students you teach:
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Please select the label that best represents your professional title:
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Director
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Professor
Industry
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Professional Musician
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Excluding the current year, how many times have you attended The Midwest Clinic? If you are a first-time attendee, please enter the number “0”.
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How did you hear about the Midwest Clinic?
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Please feel free to share my contact information with Midwest Clinic Exhibitors and Sponsors.
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Please include me in future Midwest Clinic communications.
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