1.Participant's FULL NAME:

2.Are you a Resource Parent, attending for RFA Annual Hours? (We will have a certificate for you.)

Yes

No

Not a Resource Parent but I'd like a certificate

3.Please share your PHONE NUMBER in case we need to cancel:

4.Childcare will be provided at no cost.
Please list each CHILD'S FULL NAME and AGE:

5.Questions or comments? Note here or feel free to call Juline: (530) 391-6022.