FACES - Registration Form - Conway

All courses will be held at Granite State College- 53 Technology Lane, Conway, NH 03818

To register, complete the form below:

First Name:
 

(required)

Full Middle Name:
(If no middle name enter "none")

(required)

Last Name:

(required)

Date of Birth:
(Please use this format: mm/dd/yyyy)

(required)

Home mailing address:

(required)

City:

(required)

State:

(required)

Zip code:

(required)

Primary Telephone Number:
Please use this format: (xxx) xxx-xxxx

(required)

*NOTE: Shared email addresses are not allowed. Please use a unique email address for each registration*

Primary E-mail address:

(required)

Re-enter Email Address

(required)

I am:

(required)

Location of District Office
or name of Private Agency:

(required)

Location of District Office or
name of Private Agency:

(required)

Other (specify role):

(required)

If you have a disability which may require special services, please check here.

Please explain your accommodation needs.

(required)

FACES - Conway Series

Check the box next to each class you want to register for.

Orientation - 10/30

Tuesday 5:30pm-8:30pm

The Developing Child- 11/10

Saturday 9:00am-12:00pm

 

The Effects of Childhood Trauma- 11/10

Saturday 12:30pm-3:30pm

Regulations 11/13

Tuesday 5:30pm-8:30pm

Experiencing Grief and Loss - 11/27

Tuesday 5:30pm-8:30pm

Promoting Positive Behavior - 12/4

Tuesday 5:30pm-8:30pm

Lifelong Connections - 12/11

Tuesday 5:30pm-8:30pm

By submitting your registration, you have agreed to allow the Education &Training Partnership to share your course participation and completion information with the New Hampshire Division for Children Youth & Families (DCYF).

Payment Options