Registration
Registration deadline is April 1st 2021 in order to receive text.  Cost of conference is $30 Checks are payable to ESU 16 and should be addressed to:  ESU 16, Attn. Deana Holley 1221 W 17th St North Platte, NE 69101.  Please include the class name and date on the check.  6 hours of in-service credit will be awarded for each class.  No refunds will be issued for no-shows or cancellations within 48 hours of the training date.

EXCITING NEWS!! You can now pay using Pay Pal @  paypal.me/ESU16

Sign in to Google to save your progress. Learn more
Email *
Please choose the training you will attend: *
Required
Name (first and last): *
Agency:
Address: *
City: *
Zip Code:
Phone: *
I work with (Check all that apply.): *
Required
Type of agency I work in: *
Does your program accept child care subsidy (Title XX)? *
NECPRS ID:
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Educational Service Unit #16. Report Abuse