**First Name:

**Last Name:

**Address1:

Address2:

**City:

**State:

**Zip Code:

**Email Address:

**Phone:

**Classification:

Foster Parent Adoptive Parent DFCS Staff Other Chose the ones that apply.  If other, please explain in Comments section.

Training Options Section

Please list your class choices by order of preference for each session.

Session 1:

  ... Judicial Forum

Session 2

       1st Choice:

  ... 201 Adoption & DFCS: Beginning to End and Then Some 202 Focus on Families Dealing with Children w/ Autism 203 Zero to 3: Why are these years Important?

2nd Choice:

3rd Choice:

Session 3:

1st Choice:

  ... 301 Independent Living Program 302 Alphabet Soup: What Do All those letters mean? 303 Attachment Disorders 304 Trauma Sensitive Environments

2nd Choice:

3rd Choice:

Session 3:

  ... Opening Meeting

Session 4:

1st Choice:

  ... 401 Snow Babies Can Succeed 402 Reactive Attacment Disorder & Differential Diagnosis 403 Creative Discipline 404 Serving the Discouraged Foster Families

2nd Choice:

3rd Choice:

Session 5:

1st Choice:

  ... 501 Working with Birth Parents 502 Taming the Tiger: Explosive Children 503 Understanding the Legal Process of Terminiation 504 Making Sense of Clinical Syndromes Children in Foster Care

2nd Choice:

3rd Choice:

Session 6:

1st Choice:

  ... 601 Stewards of Children - Adults Resolving Child Sexual Abuse 602 Living and Growing with FAS/FAE

2nd Choice:

Other Training

Please chose one of the two classes offer for CPR & First Aid

CPR Class 1:

 8:00 am - 12:00 pm *Additional Fee Req.

... HeartSaver CPR

CPR Class 2:

 1:00 pm  -  5:00 pm *Additional Fee Req.

... HeartSaver CPR

**Method of Payment:

... Paying By Check Paying with Credit Card If paying via Credit Card an invoice will be emailed to you. 

Comments: