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Registration for Dec. 6-8 Facilitator Training
We will be holding a Strengthening Families Program for Parents and Youth 10-14 Facilitator Training on December 6-8, 2017.

The schedule for training is 8:30 am to 5:00 pm each day. Coffee, light snacks and lunch will be provided.

Name
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Town, State
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Email Address
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Phone Number
Your answer
Which sector do you represent?
Parent, Family Services Professional, Education, Faith-Based Organization, Law Enforcement, etc.
Your answer
Do You Have Any Food Allergies?
Your answer
Why do you want to be trained as a facilitator?
Your answer
If you will not be facilitating in Easthampton, which community will you be bringing this program to?
Your answer
Payment (due by November 30)
Checks may be made payable to the Easthampton Healthy Youth Coalition. Purchase Orders are also accepted. Please send payment to Easthampton Healthy Youth Coalition, ATTN: Susan Ryan, 50 Payson Avenue, Easthampton, MA 01027. Please direct any questions to coalition@epsd.us.
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