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REGISTRATION FORM

Professional Development Opportunity

Wednesday, April 30, 2014

at: Jackson County ISD, Kratz Educational Center, 6700 Browns Lake Road, Jackson, MI 49201

 

Name_________________________________________________________ Primary phone__________________________________

                      (Please Print)

Primary email____________________________________________________________________________________________________

Address____________________________________________________________________________________________________________                                    (Address)                                     (City)                                 (State)            (Zip)           

Please check one (or all) that apply:

MORNING SESSIONS (8:30 a.m. to noon)

      “Children of Trauma,” Room 119- $25
TLC offers 3 CE’s & MCOLES  for the 3-hour session for an additional fee of $15. 3 SCECHs are available from the ISD for $15.

      “Stewards of Children,” Room 220- $15
3 SCECHs are available from the ISD for $15.

 

AFTERNOON SESSIONS (1 p.m. to 4:30 p.m.)

      “Building Resilience in a Traumatic World,” Room 119 - $25
TLC offers 3 CE’s & MCOLES  for the 3-hour session for an additional fee of $15. 3 SCECHs are available from the ISD for $15.

      “Stewards of Children,” Room 220- $15
3 SCECHs are available from the ISD for $15.

OR

      $45 for BOTH “Children of Trauma” & “Building Resilience”
TLC offers 6 CE’s & MCOLES  for both 3-hour sessions for an additional fee of $30

 

Continental breakfast will be included. Lunch is available for purchase for $10

Total Amount Due: $__________________     +  lunch? $10.00  =  $________  (total enclosed)

*Fees for CE’s & MCOLES to be paid to TLC AFTER training. *Fees for SCECHS to be paid to JCISD AFTER training.

Please return completed registration form by April 18, 2014 with appropriate fees to:
CPCAN, 606 Greenwood Place, Jackson, MI 49203


    

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