LUME Professional Development Series Workshop Registration

Affiliation *
Name *
Name
Course Selections *
Please select which courses you would like to attend.
Address
Address
Phone
Phone
Facility Phone:
Facility Phone:
Facility Address:
Facility Address:
I work at:
Check one from each category regarding your facility
My program is:
If working in child care and/or Head Start, does your agency accept children whose fees are partially or fully covered by the DSS Child Care Subsidy program (state paid, contractor, or registered vendor)?
I am an Educare participant ( I work with ARCHS):
I work with Foster Care children or am a Foster Parent:
I am attending this training as a parent (either biological, foster or adoptive parents):