Regional Training: Regions 4-7 in Medford, April 9-10, 2013

1. Registration

Registration Name:
Program:
Title:
Email Address:
Phone Number:

2. Are you a member program?If yes, you may be eligible for a scholarship.

Are you a member program?If yes, you may be eligible for a scholarship. Yes

3. Will you need hotel accommodations?
If yes, please email Sobia Paracha at sobia@ocadsv.org for hotel reservations.

Will you need hotel accommodations? If yes, please email Sobia Paracha at sobia@ocadsv.org for hotel reservations. Yes

4. This regional training will be April 9th and 10th. How many nights will you stay at the hotel?
Note: Type"N/A" if you are not staying overnight.

This regional training will be April 9th and 10th. How many nights will you stay at the hotel? Note: Type"N/A" if you are not staying overnight.

5. Are you interested in a scholarship opportunity? We are offering scholarships to member programs(only) for Regions 4-7. If you're interested, please email Sobia Paracha at sobia@ocadsv.org for more information.

Are you interested in a scholarship opportunity? We are offering scholarships to member programs(only) for Regions 4-7. If you're interested, please email Sobia Paracha at sobia@ocadsv.org for more information. Yes