Skip to content
2026 Childcare Provider Resource & Professional Development Event
Registration Form
Saturday, April 18, 2026
8 AM - 1 PM
Ivy Tech Community College
Terre Haute, IN
Please reserve your place at this event by completing the form below.
This event is free to all early childhood education professionals in our 6 county service area (Clay, Parke, Sullivan, Vermillion and Vigo Counties in Indiana or Clark County in Illinois) and hosted by the United Way of the Wabash Valley's Success By 6 Coalition.
Registration will close on April 9th.
*
1.
First Name
(Required.)
*
2.
Last Name
(Required.)
*
3.
Job Title
(Required.)
*
4.
Email
(Required.)
*
5.
Phone Number
(Required.)
*
6.
Name of Childcare Program
(Required.)
*
7.
Childcare Program Address
(Required.)
Street Address
Street Address 2
City
State
Zip
County
*
8.
Thanks to a grant from Indiana State University, United Way is providing a voucher for a free First Aid/CPR/AED certification class OR fingerprinting services to event participants. If interested in this opportunity, please select one of the options below. (Funds are limited, so please only 2 participants from each childcare provider.)
(Required.)
First Aid/CPR/AED certification (covers infants, children, and adults)
Fingerprinting
Neither
9.
What do you hope to gain as part of your participation in this conference? Check all that apply.
Networking & Collaboration (connect with industry leaders and peers to build long-term relationships and find potential collaborators)
Learning & Skill Development (identify specific, cutting-edge trends or workshops relevant to your field that will enhance your expertise)
Actionable Takeaways (learn practical tools, strategies, or best practices that you can implement immediately to improve your performance or organizational workflows)
Personal & Professional Growth (gain a broader perspective and advance your career)
Other (please specify)
10.
If you could get any childcare provider related question answered by an expert in the field, what would you ask?
*
11.
Success By 6 will document the event through the use of photographs, video recordings, and other forms of media (collectively, the "Media"). The Media will be used in Success By 6 presentations, reports, and promotional materials, including on the United Way of the Wabash Valley website and social media platforms (the 'Success By 6 materials'). The Attendee may be captured by or otherwise the subject of the Media throughout the event. By registering, the Attendee authorizes Success By 6 to use such Media in the Success By 6 Materials.
(Required.)
Agree
Disagree
12.
Due to catering limitations, we may not be able to accommodate all dietary restrictions, so please plan accordingly. Please indicate if you have any of the following dietary restrictions or do not need a lunch:
Vegetarian
Gluten Free
No restrictions
No lunch needed
13.
Any additional questions, comments, or concerns?
