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Juvenile Defense 101: Fundamentals of Juvenile Defense (2024-2)

03/15/2024

First Name*

Middle Name

Last Name*

Email Address*

Preferred First Name/Nickname for Name Tag*

Bar Number*

Public Defender Title or Private Firm Name*

County*

Circuit*

Business Address*

Mobile Phone Number (Digits ONLY Please - ex: 8035551212) SCCID may send updates and reminders by text message. Text and data rates may apply.*

I am a*

Please list any special accommodations needs: accessibility, etc.

Select a Lunch Option from Honey Baked Ham Store:*

Based on Your Lunch Selection, Select a Sandwich Side Item or Salad Dressing*

Lunch Special Instructions (No Tomato, No Cheese, etc.)

Password*

Confirm Password*

Password Requirements:

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