Youth Court Regional Roundtable Registration

September 26, 2017
10:30 a.m.-3:00
800 Shasta View Drive
Redding, California

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Please enter your contact information in the fields below (make sure your e-mail address is correct).

First Name:

Last Name:

Professional Title:

County:

Phone Number:

E-mail Address:

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Meal Restrictions

No Meal Restrictions

Vegetarian Meals

Vegan Meals

Gluten Free Meals

Food Allergies if any (please explain below)

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Accessibility: The Judicial Council of California supports the Americans With Disabilities Act, which promotes public accessibility for persons with disabilities. Please check the following box, if applicable:

I require special equipment or services for this training event.

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Comments or questions, if you have any:

Thank you for completing this online registration.

To submit your registration, please click the "Submit" button below. If you have any questions, please contact Charina Zalzos at the e-mail address or phone number below.

Regards,

Charina Zalzos
Tel: 415-865-8977
charina.zalzos@jud.ca.gov