Course/Event & Workshop Registration
Registration for CCESC sponsored Courses, Events and Workshops
Please select the desired workshop from the list below
Please select your event from the list below.
February 25, 8:30-3:30, Child Abuse Recognition & Prevention, CCESC Blue Room
March 8, 8:30-3:30, Communicable Disease, CCESC Blue Room
Please enter the First Name of the Team Organizer or Single Participant
Please enter your Last Name of the Team Organizer or Single Participant
Enter cell phone or home phone number where Team Organizer or Single Participant can be reached.
Please enter the e-mail address of the Team Organizer or Single Participant.
Will you be registering a team?
Create your own Team Name (Not required for single participant registrations)
Type in a Team Name. (Example: CNE MS, BURG MS Teachers, or West Clermont -Red Team)
Team Member Names (Not required for single participant registrations)
Please list all your team member names
If no fee is required enter "Free" in the payment field.
If no fee is required enter "$0.00" in the PO or Check amount field.
School District or Employer
Please identify your employer
School or Organization
Enter your place of employment.
Enter Complete Billing Address
Enter PO or check # (no fee selections enter None)
PO or check amount
Enter PO or Check amount (no fee selections enter $0.00)
Enter the county that you are employed in.
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