CANS Training Registration

CANS Reliable Rater Training
Holiday Inn Hotel & Convention Center
Monday April 12th, 2010

You are registering for PART 2 of a two-part training. PART 1 is a self-preparation phase which must be completed prior to attendance on April 12th. Instructions and materials necessary to complete PART 1 will be sent to you after your registration has been processed.

1. Please enter your contact information below.

Please enter your contact information below. Name
Position
Agency
Address
City
Zip
Phone
Email
ISP/CST Site you are Representing

2. Please specify any special accommodations needed (e.g. vegetarian meal):

Please specify any special accommodations needed (e.g. vegetarian meal):

Upon Clicking "Submit Registration", you will be redirected to the "Survey Monkey" website. Be assured that we did receive your registration - you should receive a confirmation via email within 2 business days.

Thank you for registering.

If you have additional questions or need to change your registration information, please contact Lori Martin at (715) 258-5430, or email: whitepine@mwwb.net.