Join the Coalition for Safe Communities, along with local social service, health care, & prevention agencies, for a Family Relationships Forum.
 
Goal: To strengthen families in our community by addressing social, emotional and health needs.
 
Event Details:
When: Saturday, September 30, 2017
Time: 10am-2pm, Light breakfast & lunch Included (Set up after 8am)
Where: Absegami High School, 201 S. Wrangleboro Rd., Galloway, NJ
 
Find out more information about the Coalition for Safe Communities and past events at: http://www.cscatlantic.org.
 
Please complete the form below to reserve your space at this event.
FORMS MUST BE SUBMITTED BY SEPTEMBER 15th FOR YOUR AGENCY TO PARTICIPATE.
 

* 1. Name:

* 2. I will be attending the Family Relations Event on September 30, 2017.

* 3. Email Address:

* 4. Agency Representing:

* 5. Agency Address:

* 6. Agency Phone Number:

* 7. Agency Email:

* 8. Agency URL:

* 9. Brief Description of Agency: (Limit 250 words)

* 10. Set Up Needs for Information/Agency Tables:

* 11. Break out sessions throughout the day will feature community agencies presenting on topics fitting within the categories below. If you are interested in being a presenting agency please provide a title, brief description, and select the best category which your presentation will focus on. If you would like more information regarding the breakout sessions, please contact Dewane Parker: dewaneparker@yahoo.com

* 12. Break Out Session Best Fits in Which Category:

* 13. Presentation Title:

* 14. Presentation Description:

* 15. Break Out Room Presenter Needs:

* 16. Presentation Title #2:

* 17. Break Out Room Presenter Needs #2:

* 18. The agency I represent focuses on addressing:

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