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Dr. Pomeranz HCBS Training Registration
June 10-13, 2024
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Email
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Your email
Please indicate the name of your organization. If you are not affiliated with an organization, please indicate if you are a person served by KRC, a family member, or other support.
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Participant's Name
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Participant Phone Number
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Preferred Training Date/Time
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PROVIDER SESSION June 10, 2024 from 9am-4pm
PROVIDER SESSION June 11, 2024 from 9am-4pm
PROVIDER SESSION June 13, 2024 from 9am-4pm
THOSE SERVED BY KRC/FAMILIES/SUPPORT June 12, 2024 - 9am-1pm with an additional afternoon/evening session to be arranged.
Do you have any dietary restrictions/requests? Lunch will be served.
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Do you need any accommodations? If so, please indicate your request here.
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Do you need CEUs?
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