Training Weekend Registration
Training Date: January 19th, 2019; 8:00 AM - 5:00 PM

Each team member must complete form ahead of deadline.

The PRIME TIME staff will send additional information about the training to each participant.

Louisiana Program Coordinators receive online training, and are not required to attend training in New Orleans.

Participant Information
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Your PRIME TIME Role *
Host Site Name *
Examples: Main Street Branch Library OR Jones Elementary School OR Smith's Childcare Center
Your answer
Program Type *
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