NFAPA In-service Registration 2024

In-service Registration 2024

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* 1. Select a date and location:

The Impact of Brain Injury on System-Involved Youth
October 19, 2024, 9:00 am - 11:00 am (Central Time) VIRTUAL
By Peggy Reisher, Brain Injury Alliance of NE
Note: This is the same training offered on June 29, 2024. Please do not register for this workshop if you already attended. For those that attend this workshop and the one in June, Peggy will offer a “Part 2” on February 22, 2025 . Save the date!

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* 2. First and Last Name

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* 3. Spouse's (Partner) Name (if attending)

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* 4. Please select all that apply. I am a:

Relative Foster Parent

Kinship Foster Parent

Licensed Foster Parent

Adoptive Parent

Other (please specify)

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* 5. Email Address

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* 6. Phone Number

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* 7. Address

Street Address

City

State

Zip Code

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* 1. Select a date and location:

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* 2. First and Last Name

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* 3. Spouse's (Partner) Name (if attending)

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* 4. Please select all that apply. I am a:

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* 5. Email Address

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* 6. Phone Number

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* 7. Address

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* 8. Agency Name