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Home | Workshops & Events | Registration Form | Resources/Links |
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Independent Day Care Providers Network |
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  Registration Form Please print, fill out, and mail this form along with your check to: Diane Kariger IDCPN Coordinator 21 Dana Road Reading MA 01867 Checks should be made payable to: I.D.C.P.N. Pre-registration $15.00 Fee at the door $25.00 Workshop Title:_________________________________________________________________ Workshop Date:________________________________________________________________ Program/Provider Name:_________________________________________________________ Address:______________________________________________________________________ City,State,Zip:__________________________________________________________________ Phone Number:________________________________________________________________ Email:_________________________________________________________________________ Are you a ___Family
Child Care Educator, a ___Preschool/Center based Educator, or a ____Parent? Do you prefer being notified of workshops being
offered by: ___email or ___mail Attendees:____________________________________________________________________ _____________________________________________________________________________ |