**Please provide your current and complete address. If you live in an apartment complex, please provide your apartment number or letter.
Your answer
City: *
City in which you live.
Your answer
HOME Zip Code: *
Zip code for your HOME mailing address.
Your answer
COUNTY in which your HOME is located: *
Choose
Autauga
Baldwin
Barbour
Bibb
Blount
Bullock
Butler
Calhoun
Chambers
Cherokee
Chilton
Choctaw
Clarke
Clay
Cleburne
Coffee
Colbert
Conecuh
Coosa
Covington
Crenshaw
Cullman
Dale
Dallas
Dekalb
Elmore
Escambia
Etowah
Fayette
Franklin
Geneva
Greene
Hale
Henry
Houston
Jackson
Jefferson
Lamar
Lauderdale
Lawrence
Lee
Limestone
Lowndes
Macon
Madison
Marengo
Marion
Marshall
Mobile
Monroe
Montgomery
Morgan
Perry
Pickens
Pike
Randolph
Russell
St. Clair
Shelby
Sumter
Talladega
Tallapoosa
Tuscaloosa
Walker
Washington
Wilcox
Winston
My home is not located in Alabama
*Number of children in your care daily *
*Estimate the number of children you care for at your child care center on a daily basis. If you are not currently working in child care please put NA for this answer.
Your answer
Child Care Center Name: *
If you are not currently working in a child care center, please put NA for this answer.
Your answer
*Child Care Center Street Address: *
*Where you work. Please be sure to provide the correct address for your child care center location. If you are not currently working in child care please put NA for your answer.
Your answer
*Child Care Center Zip Code: *
*Where you work. Please be sure to provide the correct address for your child care center location. If you are not currently working in child care please put NA for your answer.
Your answer
*Child Care Center City: *
*Where you work. Please be sure to provide the correct address for your child care center location. If you are not currently working in child care please put NA for your answer.
Your answer
COUNTY in which your CHILD CARE CENTER is located: *
Choose
I am not currently working in child care.
Autauga
Baldwin
Barbour
Bibb
Blount
Bullock
Butler
Calhoun
Chambers
Cherokee
Chilton
Choctaw
Clarke
Clay
Cleburne
Coffee
Colbert
Conecuh
Coosa
Covington
Crenshaw
Cullman
Dale
Dallas
Dekalb
Elmore
Escambia
Etowah
Fayette
Franklin
Geneva
Greene
Hale
Henry
Houston
Jackson
Jefferson
Lamar
Lauderdale
Lawrence
Lee
Limestone
Lowndes
Macon
Madison
Marengo
Marion
Marshall
Mobile
Monroe
Montgomery
Morgan
Perry
Pickens
Pike
Randolph
Russell
St. Clair
Shelby
Sumter
Talladega
Tallapoosa
Tuscaloosa
Walker
Washington
Wilcox
Winston
*Phone number where you can be reached *
*You will only be contacted about registration of this course. APT will not share your info for any other purpose.
Your answer
Program *
Please select from the choices below.
Program *
Please select from the choices below.
Early Care and Education Professional Title/Position: *