EmailMeForm
NYCDOHMH Day Care Trainings: Spring 2012
Please fill out this form for EACH individual who will be attending the session. You may attend one or both sessions each day, but must indicate which ones at the bottom of the form. You will receive a certificate of completion for each session you attend.
All Workshops are held at:
GOTHAM CENTER
42-09 28th Street
Queens, NY 11101-4132
THE ROOM # WILL VARY-PLEASE CHECK YOUR CONFIRMATION EMAIL FOR THE EXACT ROOM.
REGISTRANTS NEED TO BRING ID OR WILL NOT BE ALLOWED PAST SECURITY.
YOU CANNOT SEND SOMEONE ELSE IN PLACE OF THE REGISTRANT WITHOUT APPROVAL-THEY WILL NOT BE ALLOWED THROUGH SECURITY.
Space is limited so register early!
You may register up to FOUR (4) staff members for each workshop. If you have a large staff and are interested in an in-service please contact me: jbalay@jlbnutrition.net
First Name
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Last Name
*
email address-PROGRAM DIRECTOR
*
email address-REGISTRANT
*
Please provide a DIFFERENT email which the REGISTRANT will get--even after work hours-- in the event that there is a snow storm or some other emergency and the event is delayed or postponed. Last winter we had several snow storms which affected these events and it was difficult to inform participants of what to do since they hit hard in the evenings. DO NOT ENTER THE SAME EMAIL TWICE--or you will get annoying duplicate emails from me.
Organization Name
*
Street Address
*
Borough
*
Zip Code
*
Phone Number (xxx-xxx-xxxx)
*
Additional Comments/Questions:
Select Training (s)
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2/29 8:30-11:30 AM Day Care Nutrition (3-5 yr olds)
2/29 12:30-3:30 PM Food Allergies
3/23 8:30-11:30 AM Early Child Care Nutrition (0-3yr olds)
3/23 12:30-3:30 PM Day Care Nutrition (3-5 yr olds)
Please select ONLY the trainings for which you are registering.