CCR&R-Multnomah Registration Form- Examining the Need for Liability Insurance

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This is a Set 2 class on Saturday, May 2, 9 am - 11 am. Certificates will be emailed within one week to all participants present on the webinar for the full two hours. Trainer: Danielle Stamm-Thomas.

You will need a computer or smart phone, and internet access, to take this class.

Class description: Child care businesses are high risk by nature and yet many choose to forgo liability insurance. Join us to examine what protections liability insurance can offer your small business and explore policy options from various companies offering coverage to Oregon providers. Select which company and coverage may be right for you. Those with policies in place encouraged to attend also.

First name *

Last name *

Phone number *

Email address *

Date of birth *

YYYY

County *

Street address *

City *

State *

Zip code *

Ethnicity *

African-American/Black

Asian-American/Asian

Latina/o/x or Hispanic

Native American

Pacific Islander

White/Caucasian

Prefer not to answer

Other:

Required

Gender Identity *

Female

Male

Non-binary

Prefer not to say

Other:

What type of setting do you work in? *

DHS Listed- license exempt (I do not have a license with the state, I am paid through DHS)

Registered Family child care (RF)

Certified Family child care (CF)

Child care center staff

Child care center administrator

Recorded preschool program (half day)

Other:

How did you hear about this class? *

Email from CCR&R

CCR&R Facebook

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms