2016 Youth Summit Registration Form

Educators may register students from their school/organization for the 5th Annual Anti-Bullying Youth Summit using this form. You may register up to 5 students on this form. If you are registering more than 5 students, please fill out an additional form. Also, registration is limited to 10 students but if more than 10 students are interested in attending, please contact Honey Minkowitz to have them added to the waiting list. You will be notified as space is available.

If you have questions or changes to your registration, please contact Honey Minkowitz, Bullying Prevention Coordinator at the Mediation Center of Dutchess County at 845-471-7213 or hminkowitz@dutchessmediation.org. The deadline for registration is November 14, 2015. You will be contacted beginning on Wednesday, November 16th to confirm details and your registration list.

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