Kern County Network for Children Register for a KCNC Training/Event STOP!! The September 1st training on Suicide & Depression is completely FULL - no more registrations are being taken. Title of Training/Event: Date of Training/Event: Your Agency Name: Your Contact Name (First & Last): The contact person will receive an e-mail confirmation once the registrant(s) have been added to the RSVP list. Your E-Mail Address: Please double check your entry, an e-mail confirmation will be sent to this address. Your Phone Number Where You Can Be Reached: ex: (661)123-4567 Please list ALL registrants (including yourself if you will be attending) by First and Last Name (Due to limited space, you can ONLY register 10 individuals per agency.) Registrant 1: Registrant 2: Registrant 3: Registrant 4: Registrant 5: Registrant 6: Registrant 7: Registrant 8: Registrant 9: Registrant 10: How did you hear about this training/event? No Response KCNC Newsletter KCNC Website E-mailed Flyer Agency Colleague Other Comments or Special Accomodations: STOP!! Please review your information before hitting the Submit button. Incomplete information or incorrect e-mail addresses will delay your registration. This is a Manila site.
STOP!! The September 1st training on Suicide & Depression is completely FULL - no more registrations are being taken.
Title of Training/Event:
Date of Training/Event:
Your Agency Name:
Your Contact Name (First & Last): The contact person will receive an e-mail confirmation once the registrant(s) have been added to the RSVP list.
Your E-Mail Address: Please double check your entry, an e-mail confirmation will be sent to this address.
Your Phone Number Where You Can Be Reached: ex: (661)123-4567
Please list ALL registrants (including yourself if you will be attending) by First and Last Name (Due to limited space, you can ONLY register 10 individuals per agency.) Registrant 1: Registrant 2: Registrant 3: Registrant 4: Registrant 5: Registrant 6: Registrant 7: Registrant 8: Registrant 9: Registrant 10:
How did you hear about this training/event? No Response KCNC Newsletter KCNC Website E-mailed Flyer Agency Colleague Other
Comments or Special Accomodations:
STOP!! Please review your information before hitting the Submit button. Incomplete information or incorrect e-mail addresses will delay your registration.
This is a Manila site.
