2. Please make the following reservation for Local Government 101 in person at:*

   1. Madison Marriott West - June 2, 2023
   2. Altoona - Fish House - July 28, 2023
   3. Waupaca - Par 4 Resort - September 22, 2023
4. Your Municipality/Company*
6. Workshop attendees:
   Please fill out the following information for all your party's attendees below.
8. First Name:*
9. Last Name:*
10. Title:*
11. Email:*
13. Address*
14. City*
15. State*
16. Zip Code*
18. First Name:
19. Last Name:
20. Title:
21. Email:
23. Address
24. City
25. State
26. Zip Code
28. First Name:
29. Last Name:
30. Title:
31. Email:
33. Address
34. City
35. State
36. Zip Code
38. First Name:
39. Last Name:
40. Title:
41. Email:
43. Address
44. City
45. State
46. Zip Code
48. First Name:
49. Last Name:
50. Title:
51. Email:
53. Address
54. City
55. State
56. Zip Code
58. Special Accommodations*

    Please check the box if you need an accommodation regarding a disability or dietary restriction. We will contact you to make the necessary arrangements.

    1. Yes
    2. No
60. Regsitration
    Registration totals
61. Price

    Please total all the attendees from above.

    1. *Member Registration - $115.00
    2. *Non-member Registration - $140.00
62. Quantity
64. Contact Information:
    If you filled out this form for someone else, please list your contact information below in case we have any questions about this registration.
66. First Name:
67. Last Name:
68. Title:
69. Email:
71. The Fine Print

    *Only staff members and elected officials from cities and villages that are currently members of the League of Wisconsin Municipalities may register as members. Registration fees, minus a $10 processing fee, are refundable if received five calendar days before the workshops begin.

73. Additional Notes...
    Is there anything else we need to know?
75. Taxable
76. Shipping Cost
Leave This Blank:


78. 1. Receive an email copy of this form.
79. Email address

    This field is not part of the form submission.

80. Submit

* indicates a required field