Good Behavior Made Easy ~ 1..2..3! #2

1. Good Behavior Made Easy ~ 1..2..3! #2

Good Behavior Made Easy ~ 1..2..3! #2

Join us to learn effective parenting skills to help reduce challenging behaviors in preschool and kindergarten children.
This is the 2nd of a 3-session series of workshops being held on November 13 and December 11.
Attend 1, 2 or all 3!

November 13, 2009
10:00 a.m. - 12:00 p.m.
Dunn Loring Center
2334 Gallows Road
Entrance 1 - Room 11
Dunn Loring, VA 22027

1. Name

Name

2. phone number

phone number

3. e-mail address

e-mail address

4. How did you hear about this workshop?

	Please Check answer
PRC web site	How did you hear about this workshop? PRC web site Please Check answer
PRC Newsletter	PRC Newsletter Please Check answer
Keep In Touch Email	Keep In Touch Email Please Check answer
Flyer sent home	Flyer sent home Please Check answer
Parent group	Parent group Please Check answer
Listserv	Listserv Please Check answer

Other (please specify)

5. Accommodations are available for workshops. Please let us know
two weeks in advance if you need any of these services or contact
the PRC at 703-204-3941.

	Yes	No
Do you need accommodations to attend this workshop?	Accommodations are available for workshops. Please let us know two weeks in advance if you need any of these services or contact the PRC at 703-204-3941. Do you need accommodations to attend this workshop? Yes	No

Please provide a short description of required needs?

6. Interpreters are available for workshops. Please let us know
two weeks in advance if you need any of these services or contact
the PRC at 703-204-3941.

	Yes	No
Do you need an interpreter to attend this workshop?	Interpreters are available for workshops. Please let us know two weeks in advance if you need any of these services or contact the PRC at 703-204-3941. Do you need an interpreter to attend this workshop? Yes	No

Please provide a short description of required needs?

7. Additional Participants: If you are registering additional
participants,please indicate the total number in your group.

Additional Participants: If you are registering additional
participants,please indicate the total number in your group.
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