Individual Registration

Please enter information in the form below to process registration for event Roadshow: R6/Six County Region (Richfield, UT).

First Name *

Last Name *

Organization

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Dietary Restrictions *

None

Vegetarian

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What specific topic about building healthy communities are you most interested in learning about?

Other, please specify:

Do you plan on attending in person or virtually?

In Person

Virtually (Note: Virtual participants will not be able to participate in the roundtables)