3rd Annual Childcare Conference Registration

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* 1. For questions, please e-mail abothra@co.burlington.nj.us

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* 2. Please enter an e-mail to confirm attendance and receive event reminder (week before event, day before event).

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* 3. What organization are you representing? Please provide an address.

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* 4. Are you a Provider or a Vendor?

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* 5. How many people are attending?

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* 6. Please list the names of individuals attending. (If your agency has more than 5 representatives attending, please fill out another registration form for overflow)

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* 7. Did you attend last year's conference on May 14, 2015?

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* 8. Event Information:

Date: Friday, May 20, 2016
Time: 9:00 am- 12:00 pm
Where: Burlington County Human Services Building, Lecture Hall A/B
795 Woodlane Rd, Westampton

*3.0 Training Hours will be provided for all in attendance.


Please confirm details below.

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