Conference Registration« Back

04/07/2017

Are you a public defender representing juvenile defendants?*

First Name*

Middle Name

Last Name*

Preferred First Name/Nickname for Name Tag*

SC Bar Number (If you do not have an SC Bar Number yet, enter 000000)*

Circuit*

County*

Email Address*

Business Mailing Address*

Telephone (Office)*

Telephone (Cell)

Please list any special accommodations needs you may have in attending this workshop: accessibility, diet, etc.

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