CYP - Child Care Resource & Referral Training Registration Form and Requirements

Child Care Resource & Referral - Training Registration Form & Requirements

Participant’s Name/Program *

Email Address *

Phone Number *

Work Phone Number

Place of Employment *

County of Employment *

Advance payment is required. Registrations will NOT be confirmed until payment is received.
If your payment is received after a workshop is closed, or if a workshop is cancelled, you will be notified.
In consideration of presenters and participants, please arrive early enough to begin the workshop on time. You will not receive full credit if you arrive more than 15 minutes after the workshop has begun.
Training credit can only be issued for completed workshops. If you choose to leave a workshop early, no credits can be issued.
Young children do not belong at workshops. We strongly suggest that you make arrangements so you, other participants and presenters can focus, and your child will not have to suffer from sitting still and being quiet for an inappropriate amount of time. (Bringing children should be a last resort, and if disruptive, you may be asked to leave).
If you register for FREE workshops, please plan to attend or cancel at least 2 days prior. This will prevent us from making extra copies of handouts and certificates and allow people on waiting lists to attend.
If you cannot attend a pre-paid workshop, please call us to have your fee applied to another workshop of your choice. You must call and cancel your attendance within two days of the training. Refunds will not be issued.
An additional fee may be required to earn CEU credit for approved workshops. Please see workshop description for CEU information.

Name of Workshop *

Date of Workshop +

Cost

CEU Credit? (If applicable)

No	Yes (please include additional fee, if required)

Programs registering more than 1 person – please list individuals:

Total Amount

Please print this form & return with your payment to: