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27th Biannual CDC/ATSDR Tribal Advisory Committee Meeting In-Person Registration Form						Print
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										**February 21-22, 2024****Atlanta, Georgia**
February 21, 2024 | 09:00 AM – 05:00 PM
February 22, 2024 | 09:00 AM – 05:00 PM
**Note:** All times are listed in Eastern Standard Time (EST), so be sure to adjust for your time-zone if you are participating remotely.
The attendance for this meeting is in-person and virtual. Please note that seating is limited. Ensure you register early to secure your spot. If you have questions, please contact the Office of Tribal Affairs and Strategic Alliances at TribalSupport@cdc.gov or 404-498-0300.
Note: After you complete and submit the form below for in-person registration, please also register for a Zoom meeting link on the confirmation page. This will allow you to receive a unique link to access the virtual meeting should you be unable to be in-person for the entire meeting.Business Email*Please enter your email address.Name*Title*Name you prefer on your badge*Tribe/agency for which you work*City(optional)State(optional)Business phone number(optional)Are you a tribal member?*YesNoIf yes, from which tribe/nation?(optional)Do you work for CDC or ATSDR? *YesNoIf yes, in which CIO/Division/Branch? (optional)1. What day(s) do you plan to attend? (Check all that apply.)*February 21February 222. Were you invited to participate in a discussion? *YesNo3. Do you require any special accommodations? *YesNo4. Please list the accommodations you need.(optional)protected by **reCAPTCHA**
				
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							Last Reviewed:  August 31, 2023						Source: 	Public Health Infrastructure Center
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