Training Registration Form

Name
*
*
Phone
*
Address
Current Place of Employment

If not employed, enter "none"

Work Phone
Title/Date Early Bird Fee Regular Fee
Touchpoints Training (starts 5/31/17)   $50.00
 
Total Amount: $
Payment Method
*
Comments

Note: Please print for your records

***Note: All trainings are non-refundable unless canceled by the Early Childhood Council.***

Registrations are processed in the order they are received; space is limited. You will receive confirmation of your registration by email prior to the class start date. For questions, contact Lauren at lpowers@ecclc.org or (970) 377-3388 ext 202.