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Individual Registration

Please enter information in the form below to process registration for event CACFP - Steps to Success - 6/13/13.

First name*
Last Name*
Organization*
Address*
City*
State*
Zip*
Phone*
Email*
Are you new to CACFP?*
Yes No  
Do you need a CACFP Manual?*
Yes No  
CACFP Agreement Number (N/A = New Participants)*
Which ICN location would you like to attend? NOTE: Right now these sites are tentative.*
What population does your center serve (select all that apply):*
Infant Child Care At-Risk Emergency Shelter Adult Care OSHCC  
I will be attending (select all that apply):*
Morning Sessions Afternoon Sessions Infant Session  
 
 

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