One Key Question & Preconception Care Training

Registration

Please complete the registration information below for the One Key Question & Preconception Care Training, being held on November 16, 2016 (9:00-4:00pm) at Kirkbrae Country Club (197 Old River Rd, Lincoln, RI 02865).  If you have any questions about this training, contact Leah McPhail, at Leah.McPhail@health.ri.gov or 222-4354. We will confirm your registration via email.  
1.What is your name?
2.What organization are you from?
3.What is your job title?
4.What is your email address?
5.Lunch will be provided; do you have any dietary requests or restrictions?