Chatham Childcare Collaborative - University of Georgia



Chatham Childcare Collaborative

Super Saturday

October 24, 2015

REGISTRATION FORM

Please make a copy of Registration Form for each person

Name: _____________________________________________________________________________

Address: ___________________________________________________________________________

Street or Mailing Address City State Zip

Daytime Phone #:__________________________ Evening Phone # :__________________________

Name of Child Care Facility: ___________________________________________________________

Email Address:______________________________________________________________________

Please register me for the following track:

(Only choose one track)

( Track 1 Basic Core

( Track 2 CPR/First Aid*

*LIMITED TO 40 PARTICIPANTS

( Track 3 5 Hour Fire Safety

( Track 4 Infants

( Track 5 Toddlers

( Track 6 Preschool

( Track 7 Hot Topics

( Track 8 Administrative

SAVE MONEY – REGISTER EARLY!

$30.00 if postmarked BEFORE October 9, 2015

$40.00 if postmarked AFTER October 16, 2015

No registrations accepted AFTER October 21, 2015

Due to space limitations, walk-ins will not be

allowed.

To maximize the learning opportunities of all participants, children are not allowed to attend. Please make child care arrangements in advance.

Please note: Registration/Check-in closes at

8:40 am; Workshops begin promptly at 8:45 am. If you are late (8:45 am), you will not be admitted to class. Refunds/credits are not available to participants who are late.

We do not issue refunds. If you are unable to attend, you may have someone substitute for you.

Please mail your check or money order to:

Chatham Childcare Collaborative

Attention: Kim Burgess

P. O. Box 10

Meldrim, GA 31318

Returned Check Fee: $35.00

The University of Georgia, Fort Valley State University, the U.S. Department of Agriculture and counties of the state cooperating. UGA Extension offers educational programs, assistance and materials to all people without regard to race, color, national origin, age, gender or disability. The University of Georgia is committed to principles of equal opportunity and affirmative action.

Chatham Childcare Collaborative

The Chatham Childcare Collaborative is a partnership committed to providing research-based, quality, affordable childcare training to all child care providers in southeast Georgia. Partners of the Collaborative are the University of Georgia Cooperative Extension in Chatham County, Early Start Child Care Resource and Referral Agency, Savannah Technical College Early Childhood Education Department, and Fort Stewart/Hunter Child and Youth Development Services.

For More Information Contact:

Chatham County Extension 912.652.7981

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