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Administrators Conference Registration Form

To ensure the accuracy of your registration, please complete all the fields on the following form.  When completed click on the "Register" button at the bottom.

* Indicates required fields.

Administrator Name*:
Job Title
Agency*:
Address:
City:

Zip Code:*
E-Mail*:
Work Phone: Home Phone (Optional):
Fax:
Confirmation letters will be faxed within one week of our receiving this form
Register me for the following(check all that apply):
May 1, 2008
9:30a.m - 4:30p.m
May 2, 2008
9:00a.m - 1:00p.m
May 2, 2008
Business Meeting
1:00p.m - 3:00p.m
Vegetarian
Meal
 
I will be bringing the following Supervisors (check all that apply):
Name
May 1, 08
9:30a.m - 4:30p.m
May 2, 08
9:00a.m - 1:00p.m
Vegetarian
Meal
1.
2.
3.
4.
If you require disability-related accommodations please contact Liz Hessler @ 920-465-2724. Requests for accommodation should be made as soon as reasonably possible and no later than 14 days prior to the event

Confirmation Letter: You will receive a confirmation letter by fax or be contacted about being put on a waiting list within five working days after we receive your registration.  This letter is your receipt.  If you do not receive confirmation prior to attending training you should call 920-465-2724 to check the status of your registration. 

Please Note: Your name as it appears on this registration is how it will appear on all training related documentation (i.e. confirmation letters and nametags).
About Us - Training - Registrants - Supervisor - Trainers - Resources
Intertribal Child Welfare Training Partnership - Milwaukee Child Welfare Partnership - Southern Partnership - Western Wisconsin Partnership - Wisconsin Child Welfare Training System - University of Wisconsin-Green Bay

URL: http://www.uwgb.edu/newpart/
University of Wisconsin - Green Bay
NEW Partnership for Children and Families
Cofrin Library 750
2420 Nicolet Dr.
Green Bay Wisconsin 54311
920-465-2724

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