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After-School Training Registraton Form

April 01, 2008

ENROLL NOW!

Mail this form to:

Practical Parenting Partnerships
2412-C Hyde Park Road
Jefferson City, MO 65109

Make purchase orders and checks payable to:

JCPS-Practical Parenting Partnerships

If you have questions, please call (573) 761-7770.

You may fax this registration form along with your purchase order to (573) 761-7760.

 

School District/Agency  
School Building  
Address  
City, State, Zip  
Telephone  
Fax  

 

AFTER-SCHOOL TRAINING REGISTRATION

Date of Training  
Location of Training  
Purchase Order #  
Check Enclosed #  
Amount Due/Enclosed  

 

Participant Name and Title Telephone E-Mail Address Cost

     

     

     

     

     
$75 per person to become eligible to train within site
$35 participant only

 

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