FRIDAY March 15 2019 ECE Conference Registration Form
(PRINT EMAIL CLEARLY!! One form per person please.)
Name: ______________________________________________ School/Center Address: _________________________
Name of School/Center: ______________________________________ ______________________________________________
Home Email: ______________________________________ Work Email: ___________________________________________
Work Phone: ( ) __________________________________ Age(s) of children you teach: _________________________
IMPORTANT NOTE: WE NEED YOUR EMAIL TO SEND YOU DIRECTIONS AND LAST MINUTE INFORMATION!
Registration Fee of $90.00 includes lunch buffet. Registration deadline of Wednesday March 6, 2019. Please make check payable to “Center for Parents & Teachers” and mail to:
Center for Parents and Teachers, 120 Meriam Road, Concord, MA 01742.
Questions? Email firstname.lastname@example.org or call 978-202-1143. Please note there are no refunds unless CPT needs to cancel program.
To support its work with parents and teachers, CPT relies on individual donations, and grants from community organizations such as the Concord-Carlisle Community Chest, Healthy Concord, Concord - Carlisle Regional School District, The Bradford Mills, Concord Printing, Woodman & Eaton PC, CCHS Parents Association, CMS PTG, Elementary PTGs, First Parish Church in Concord, and Lahey Clinic/CHNA 15. Love what we do? Help us do even more through a tax deductible donation given online at the Supporting CPT tab on this website. Thank You!