20110825_154308

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					                   TIME MANAGEMENT STRATEGIES

      TIME MANAGEMENT STRATEGIES
                        Training Registration Form
                           Workshop: October 28, 2011
                      Robert J Cabral Agricultural Center
                  2101 E. Earhart Avenue – Assembly Room 3
                              Stockton, CA 95206
                            (Off Arch-Airport Road)
                              – 8:00 a.m. – noon–
              Registration Deadline: October 7, 2011
           The completion of the entire form below is required:

Name: _____________________________________________________________________

Title: ______________________________________________________________________

Agency and First 5 Program: __________________________________________________

Address: ___________________________________________________________________

City: _________________________________State: ________________Zip Code: _______

Email: __________________    Telephone Number:_________________________________

Supervisor Name: _____________________________________________________________

Supervisors Signature: _________________________________________________________

                     Priority training is given to First 5 Contractors
 Please note: If an agency registers but elects not to attend, or stay for the duration
                      of the training, a replacement may be sent.
There will be a $25 charge for a no show. By submitting this form, participant agrees
                  to participate in the workshop for the full duration.
                 No maximum per agency – Limited to 40 participants

    This training is offered at no cost to First 5 Contractors and the Community
       To register: Please Fax (209-932-2675) or e-mail (sjckids@sjgov.org)
                          Refreshments will not be provided.

				
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