Training Registration Form
Please answer the following questions to register for a training event sponsored by Children & Youth Partnership for Dare County. If you have any questions, please call (252) 441-0614 extension 1.
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Participant's Name *
Participant's Phone Number *
Work Phone Number
Place of Employment *
County of Employment
Email address *
Name and Date of Workshop(s) *
Required
Please answer the following questions for the person who will be participating in the training:
Ethnicity *
Gender *
Age *
Job title *
Number of children that you work with
Please give the number of children in each age group that you work with. If you do not work directly with children in that age group, please enter 0.
How many children ages 0-3 years old (0-35 months) do you work with? *
How many children ages 3-5 years old (36 months -K) do you work with? *
How many children ages 5-12 years old (K-school age) do you work with? *
Registration Requirements
* Advance payment is required. Registrations will NOT be confirmed until payment is received.

* If your payment is received after a workshop is closed, or if a workshop is cancelled, you will be notified.

* Please arrive early enough to begin the workshop on time. You will not receive full credit if you arrive more than 15 minutes after the workshop has begun.

* Training credit can only be issued for completed workshops. If you choose to leave a workshop early, no credits can be issued.

* Children do not belong at workshops. Please make arrangements so you, other participants and presenters can focus and your child will not have to sit still and remain quiet for an inappropriate amount of time.

* If you cannot attend a pre-paid workshop, please call (252) 441-0614 ext. 1 to have your fee applied to another workshop. You must call to cancel your attendance within two days of the training.
REFUNDS WILL NOT BE ISSUED.

* An additional fee may be required to earn CEU credit for approved workshops. Please see workshop description for CEU information.

* Following guidance from the CDC, people who are not vaccinated should wear a mask and maintain distance in all indoor public settings.
Payment Options
- Payments may be mailed to CYP, 534 Ananias Dare Street, Manteo, NC 27954
- To make a payment in person, please call (252) 441-0614 ext. 1 to confirm office hours.
- Pay online by debit card or credit card at the link displayed after you click SUBMIT below.
I have read the registration requirements and payment options listed above. *
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