TRAINING SERVICE WORKSHOP RESERVATION FORM
You will receive an email confirmation once the form is received at our office.
Please allow at least 30 days to schedule a workshop.
There is a $50 non-refundable administrative fee for all scheduled workshops.

If you have questions contact Monica Whalen, Conference & Training Coordinator, at mwhalen@ctafterschoolnetwork.org
WORKSHOP(S) REQUESTED: *
Please enter the name (s) of workshop:
Your answer
Date(s) preferred: *
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Times preferred: *
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Location address for workshop: *
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Number of staff expected at workshop: *
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Age of children with whom they work: *
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Contact information
Your name *
Your answer
Program name *
Your answer
Mailing address *
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E-mail *
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Phone number *
Your answer
Preferred contact method *
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