January 27, 2018 Saturday Seminar Registration Form (One per person please.)
Name _______________________________School __________________________________________________
School Address __________________________________City __________________State _____ Zip __________
Home Phone ( ) ___________________________Work Phone ( ) __________________________
Required: Email address (please write clearly! This is how we will communicate instructions/changes to you!) ______________________________________________________________________
TOTAL COST: $65 (for 5 hr training, workshop materials, light lunch) ) I am signing up for Jan 27, 2018
Amount enclosed: $____________ Please make check payable to: Center for Parents and Teachers
Please mail this form (with full payment) to: Center for Parents and Teachers, 120 Meriam Road, Concord, MA 01742. Pre-registration is required. No refunds unless class is cancelled by CPT.