Symposium Registration

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High School Symposium Registration Form 

January 17, 2026 9:30am-3pm
1. *

Name:
2. *

Address:
3. *

Phone Number:
4. *

Email Address:
5. *

Are you an HSLDA Member?
Yes No
6. *

HSLDA Membership Number:
7. *

Choice of Lunch: 
Ham Classic: Honey Baked Ham topped with Swiss cheese, lettuce, tomato, mayo, and hickory honey mustard on a flaky croissant. Served with chips and a cookie. Chicken Salad Sandwich: Freshly made chicken salad topped with lettuce and tomato on a flaky croissant. Served with chips and a cookie.
Gluten-Friendly Garden Salad: Tomatoes, cucumbers, red onions, and cheddar cheese on a bed of green leaf and spring mix with Italian dressing. Served with a gluten-friendly brownie. No lunch (cost remains the same; you may bring your own packed lunch).
8. *

I understand that no childcare will be provided and this event is for adults only (nursing babies welcome).

 (1 required)
I agree
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