Lynnfield, Reading & North Reading
Partnership for Children

Training Registration
Print this form to send via USPS. See the mailing address at the bottom. Registrations are accepted on a first come, first served basis. Please assume that you are registered for a workshop unless notified of cancellation or being placed on a waiting list. We do not send confirmation notices.
Please complete the entire form, all information is required for registration.
We are unable to refund registration fees (where applicable).
Just close this window to go back after you print this page. Thank you.

The asterisk(*) indicates required information.
*Name:
Center Affiliation:
Street Address:
City:
State:
Zip:
*Home Phone:
    (incl. area code)
Work Phone:
    (incl. area code)
*Email:
Are You?:
    (Check all that apply)
Family Child Care Provider
Center Staff
Public School Teacher
Parent

*Age Group that you work with:
Infants/Toddlers
School-age
Preschool
N/A
Title of Training or 
Workshop:
Date:
Fee (if applicable):
Please Sign:
Pre-registration is required for all workshops. If payment is required, please mail completed application with check to:

The Lynnfield, Reading and North Reading
Community Partnership for Children
190 Hampshire Street, Lawrence, MA 01840

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