Healthy Kids Summit Registration

Registration is free.

Location: Sullivan University in Mayfield 1102 Paris Rd., Mayfield, KY 42006.

Time: 8-3

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* 1. Please enter your contact information.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What is your professional title?

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* 3. Do you have one of the following dietary needs?

Vegan

Gluten-Free

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* 4. Are you interested in receiving CEU's?

Yes

No

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* 5. Are you interested in receiving EILA credits?

Yes

No

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* 6. Which morning breakout will you be attending?

Early Childhood

Elementary

Adolescents

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* 7. Which afternoon breakout will you be attending?

Early childhood

Elementary

Adolescents