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Registration for Building Healthy Communities Training

We are pleased to be offering this Building Healthy Communities training. It is highly recommended that participants come with teams from their communities. Please share the announcement with partners, or potential partners, i.e. town officials, health advocates, community organizers, planners, etc. and encourage them to register and attend.

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* Name:

First:

Last:

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* Please indicate your title or role in your community:

Elected Town Official

Community Coalition Leader

Community Coaltion Member

Local or Regional Planner

Health Department Staff

Community Resident

Public Health Advocate

Bike/Ped Advocate

Farmers Market Organizer

Other (please specify)

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* Community Coalition or Organization You Represent:

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* Mailing Address:

Street and Number:

Town:

Zip Code:

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* E-mail Address:

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* Phone Number:

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* Date Attending Training:

November 16, 2011 at The Hampton Inn, Colchester VT

November 18, 2011 at The Holiday Inn, Rutland VT

November 30, 2011 at the Capitol Plaza, Montpelier

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* Name:

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* Please indicate your title or role in your community:

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* Community Coalition or Organization You Represent:

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* Mailing Address:

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* E-mail Address:

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* Phone Number:

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* Date Attending Training:

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* What do you hope to learn or get out of this training?