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Workshop information Workshop Name Clean Groundwater and Well Water in Rural and Suburban Wisconsin Communities - Part 1 Date Thursday, September 17, 2020, 12:00 - 1:15 p.m. Location Deadline 9/16/20 Price $30.00 This session outlines the public health aspects of tainted groundwater. The presenters are Sarah Yang, Ph.D., toxicologist with the Bureau of Environmental and Occupational Health, Wisconsin Division of Public Health, and Gavin Dehnert, Ph.D., Policy Postdoctoral Fellow, Wisconsin Water Resources Science, Bureau of Environmental and Occupational Health, in the Wisconsin Division of Public Health.   Participant information * - required Last Name * Required! First Name * Required! Suffix Organization Name * Required! Title/Position * Required! Address * Required! Address 2 City * Required! State * Required! Zip Code * Required! E-mail * Required! To contact you about your registration Phone * Required! Please include area code, XXX-XXX-XXXX   Please provide the following demographic information about yourself. This information is used to ensure our programming is reaching a diversity of audiences and to fulfil our obligations as a recipient of federal funding. You reserve the option to not provide this demographic information. Should you choose to not provide this information, please choose "Prefer not to respond."   Please indicate your race. Choose only one answer. I identify as having (check all that apply):   American Indian or Alaska Native (1)   Asian (2)   Black of African American (3)   Native Hawaiian or Other Pacific Islander (4)   White (5)   Two or more races (6)   Prefer not to respond (7) Please indicate your ethnicity. Choose only one answer. Hispanic or Latino (1) Not Hispanic or Latino (2) Prefer not to respond (3) Please indicate your “Sex”. Choose only one answer. Female (1) Male (2) Prefer not to respond (3) Please indicate your age. Choose only one answer. Adult (19 years or older) (1) Youth (18 years or younger) (2) Prefer not to respond (3)   Registration Category $30.00 If you have a Promo Code, please enter it here Payment Method Credit Card Check   Doing Business As: The charge will appear on your credit card statement as UW Local Gov. Education. Cancellation Policy: To cancel a registration/payment, please contact lgc@extension.wisc.edu. Privacy Statement: The Local Government Center does not sell, rent, trade or distribute any personally identifiable customer information to any third party, except as required by law. Information collected by The Department of Animal Science is used for the administrative and operational purposes of our services. Contact: Please contact lgc@extension.wisc.edu, if you have any questions about your registration. NOTE: If you have a disability and desire accommodation, please advise us as early as possible. Requests are confidential.