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Community Impact: Transforming Lives in Siskiyou County
Keynote Speaker:
Karen Ponder, renowned Early Childhood Consultant
1.
I would like to register for:
Community Impact: Transform Lives in Siskiyou County
(Tuesday, September 29, 2020)
2.
Name:
First:
Last:
3.
Affiliation:
Adoptive Parent
Foster Parent / Kinship Care
Parent
Social Services Professional
Family Resource Center
Health Care Professional / Administration
Mental / Behavioral Health Professional
Public Health Professional / Administration
Teacher - Preschool
Teacher - Elementary School
College Faculty / Administration
Law Enforcement
Tribal Program
Student
County Supervisor
County Administration
Other (please specify)
4.
Phone Number:
5.
E-mail Address:
6.
Would you like to receive, by e-mail, information about future trainings in our county?
Yes
No
