CARES Home Page
Conference Registration - October 22, 2005
The conference is offered free of charge.
If your party includes more than one family, please register each family separately
 
Name:        
Address:       Phone Numbers  
City:      
Home:
Work:
Cell:
 
State:  
Postal Code:
   
Country:      
Email:          

How many people would you like to register to attend the conference workshops and lectures?
Names of conference participants:

   

Would you like to reserve spaces in the Children’s Recreation Room?
Yes, please reserve spaces for the following children:

  Name: Age:

Are you interested in volunteering?

    Would you like to receive continuing education units (CEU’s)? yes no
I would like to volunteer on the day of the conference.    
         
I would like to help recruit sponsors.     Comment:  
     
I live near Indianapolis , and I would like to volunteer before the conference.