The attached Registration Form is due
August 28, 2009.
This is an interactive pdf form.
Please complete the following page online by clicking once in each
field, then typing the information requested.
You can use your “tab” key to move from field to field.
To check a box, click the appropriate box with your mouse pointer.
To note your 1st, 2nd, and 3rd choices for each workshop session, type a
1, 2, or 3 on the appropriate lines following your chosen workshop
session numbers. Remember to mark your three choices for each of
the three sessions.
After completing all of the fields, print the form. You may wish to keep
a second copy for your records.
Return your completed Registration Form with your warrant, check or
money order made payable to Tulare County Office of Education (no
purchase orders, please) to:
Tulare County Child Care Planning Council
Attn: Tina Shirley
7000 Doe Ave., Suite C
Visalia, CA 93291
If you cannot complete the form online, you may print the form and
complete it using a black or blue pen. Please print clearly.
2009 Child Care Summit
Registration
Quality Care for Kids ... Turning Disabilities into Possibilities
September 11, 2009
8:00 a.m. - 4:00 p.m. • Visalia Convention Center
www.tularecountykids.org/summit
Registration deadline is August 28, 2009. No on-site registrations accepted.
First Name: Last Name:
Agency / Company: Job Title:
Mailing Address: City: Zip:
Phone: Fax: E-Mail:
Continuing Education / Professional Development / Professional Growth? Please check if applicable:
CEU: CPDU: Prof.Growth: BRN: License #:
Check here if you prefer a vegetarian meal.
Workshop Choices:
Please number your 1st, 2nd, and 3rd choices for each Workshop Session. Workshops will be assigned as registrations are received, so register early!
Visit www.tularecountykids.org/summit for Workshop descriptions and presenters.
Workshop Session 1 Workshop Session 2 Workshop Session 3
1-01 ___ From Kid-tastrophe to Cooperation 2-01 ___ Social Stories Part 1 AND 3-01 ___ Social Stories Part 2
1-02 ___ Common Childhood Mental Disorders 2-02 ___ Motivating the Difficult-to-Motivate 3-02 ___ The Young and the Restless
Child
1-03 ___ Practical Ideas for Promoting
Appropriate Behaviors in Preschool 2-03 ___ Including Samuel Part 1 AND 3-03 ___ Including Samuel Part 2
Age Children
2-04 ___ Sign Language 3-04 ___ Advocating for Your Child With
1-04 ___ Disability Etiquette Special Needs
2-05 ___ Speech and Language in the
1-05 ___ Response to Intervention Program in Preschool Setting 3-05 ___ Speech and Language in the
the Preschool Setting Preschool Setting
2-06 ___ Picture Communication
1-06 ___ Picture Communication 3-06 ___ Individualized Education Plan
2-07 ___ Look Teacher, I Can Behave Process
1-07 ___ Look Teacher, I Can Behave
2-08 ___ Where do I Turn for Help? 3-07 ___ Bright Beginnings: Supporting
1-08 ___ Where do I Turn for Help? Early Literacy
2-09 ___ Sensory Integration
1-09 ___ The Impact of Disability and Illness on 3-08 ___ Finders’ Keepers
Families and Educators 2-10 ___ Juvenile Diabetes and Obesity
3-09 ___ Sensory Integration
1-10 ___ Simple Strategies and Effortless 2-11 ___ Encontrando Consuelo
Activities 3-10 ___ Juvenile Diabetes and Obesity
2-12 ___ Drug Exposed Infants
1-11 ___ Asesoria para su Niño con 3-11 ___ Dónde Puedo Obtener Ayuda?
Necesidades Especiales 2-13 ___ Welcome to Holland!
3-12 ___ Drug Exposed Infants
1-12 ___ Early Childhood Literacy Skills
3-13 ___ Welcome to Holland!
1-13 ___ California Infant/Toddler Learning and
Development Foundations and
Guidelines
Registration cost is $60.
Scholarships are available. Visit www.tularecountykids.org/summit for more information.
Tulare County
Mail or deliver this completed registration form with warrant, check or money order Board of
made payable to Tulare County Office of Education (no purchase orders, please)
by August 28, 2009 to: Supervisors
Tulare County Child Care Planning Council
Attn: Tina Shirley
7000 Doe Ave., Suite C
Visalia, CA 93291