Care About Childcare -Five County 2018 Conference Registration

2018 Early Childhood Collaboration Conference

This is a registration for the annual conference. Registration is required for all participants. Payments can be made at http://childcarehelp.org/care-about-childcare-training/ using the PayPal option towards the bottom of the page. Please complete one registration form per attendee.

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* 1. Attendee Information

Name *

Organization *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 2. Attendance Type

Friday Night Community Concert ($10 each) *if only attending Friday night

Saturday Conference Only ($45.00)

Both ($45.00) *Concert+Conference

Please indicate how many additional people you plan on bringing to the Friday night concert (please immediate family only).

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* 3. How are Paying for the Conference?

I am paying for myself

I am part of a group and someone else is paying for me

I am attending the Friday event only and no payment is required

Care About Childcare -Five County 2018 Conference Registration

2018 Early Childhood Collaboration Conference

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* 1. Attendee Information

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* 2. Attendance Type

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* 3. How are Paying for the Conference?

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* 4. The name of person/organization paying for your registration (Put NA if you paid yourself):

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* 5. Please indicate any dietary restriction