Event and Workshop Registration Form
PERSONAL INFORMATION
* First Name:
* Last Name:
Company Name:
Title:
* Email Address:
* Address:
* City:
* State:
* Zip:
* Daytime Phone:
Evening Phone:
Fax:
Other Phone:
* How may we contact you?
Phone
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* All calls placed from our office show as private on caller ID. Due to confidentiality laws, when we contact you (via phone, email, postcard, fax, etc.) regarding your registration, may we identify ourselves as a representative from CARE?
Yes
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Yes, I would like to receive CARE's FREE newsletter, Stepping Stones.
How did you hear about us?
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Prior participant
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Comments:
Be sure to check the checkbox in the top left of every event and workshop you want to attend.
REGISTER FOR EVENTS
More Info
BILL W. AND DR. BOB
on Saturday, April 24, 2010 at The Box Theater, 70 Macomb Place, Mt. Clemens
Cost:
$10.00
Tickets:
1
2
3
4
5
Name on Ticket #2:
+ $10.00
Name on Ticket #3:
+ $10.00
Name on Ticket #4:
+ $10.00
Name on Ticket #5:
+ $10.00
More Info
CARE’s WorkLife Solutions Quarterly Meeting
on Tuesday, April 27, 2010 at CARE’s WorkLife Solutions
Tickets:
1
2
3
4
5
Name on Ticket #2:
Name on Ticket #3:
Name on Ticket #4:
Name on Ticket #5:
More Info
2nd Annual Sober Dinner Cruise
on Thursday, August 5, 2010 at The Detroit Princess Riverboat
Cost:
$39.00
Tickets:
1
2
3
4
5
Name on Ticket #2:
+ $39.00
Name on Ticket #3:
+ $39.00
Name on Ticket #4:
+ $39.00
Name on Ticket #5:
+ $39.00
REGISTER FOR WORKSHOPS
More Info
Parenting School Aged Children-Henry Ford Hospital Warren
on Wednesday, March 17, 2010 at Henry Ford Hospital-Warren Campus, 13355 E. 10 Mile, Warren
Non-Contracted:
$30.00
Tickets:
1
2
Parenting Partner:
C / + $15.00 Non
More Info
Parenting School Aged Children-American Lutheran Church 3/22
on Monday, March 22, 2010 at American Lutheran Church, 38795 Mulberry St., Clinton Twp.
Non-Contracted:
$30.00
Tickets:
1
2
Parenting Partner:
C / + $15.00 Non
More Info
Parenting Teenagers-L'Anse Creuse Middle East 3/22/10
on Monday, March 22, 2010 at L'Anse Creuse Middle East, 30300 Hickey, Chesterfield Twp.
Non-Contracted:
$30.00
Tickets:
1
2
Parenting Partner:
C / + $15.00 Non
More Info
Parenting Young Children-Assumption Nursery 3-23-10
on Tuesday, March 23, 2010 at Assumption Nursery, 22150 Marter Rd., St. Clair Shores
Tickets:
1
2
Parenting Partner:
More Info
Parenting Young Children-Mt. Olivet 3-23-10
on Tuesday, March 23, 2010 at Mt. Olivet Church, 33701 Jefferson, St. Clair Shores
Tickets:
1
2
Parenting Partner:
More Info
Parenting School Aged Children-Lobbestael Elem 3-23-10
on Tuesday, March 23, 2010 at Lobbestael Elementary, 38495 Prentiss, Harrison Twp.
Non-Contracted:
$30.00
Tickets:
1
2
Parenting Partner:
C / + $15.00 Non
More Info
Parenting Teenagers-North Star Academy 3/23/10
on Tuesday, March 23, 2010 at North Star Academy, 27500 Cosgrove, Warren
Non-Contracted:
$30.00
Tickets:
1
2
Parenting Partner:
C / + $15.00 Non
More Info
Parenting Young Children-MISD 3-23-10
on Tuesday, March 23, 2010 at MISD, 44001 Garfield, Clinton Twp.
Tickets:
1
2
Parenting Partner:
More Info
Parenting Teenagers-JF Kennedy Middle School 3/24/10
on Wednesday, March 24, 2010 at John Kennedy Middle School, 23101 Masonic, St. Clair Shores
Non-Contracted:
$30.00
Tickets:
1
2
Parenting Partner:
C / + $15.00 Non
More Info
Parenting Young Children-Trinity Lutheran Church 3-25-10
on Thursday, March 25, 2010 at Trinity Lutheran Church, 38900 Harper, Clinton Twp.
Tickets:
1
2
Parenting Partner:
More Info
Parenting Teenagers-Ford II High School 3/25/10
on Thursday, March 25, 2010 at Ford High School, 11911 Clinton River Rd., Sterling Heights
Non-Contracted:
$30.00
Tickets:
1
2
Parenting Partner:
C / + $15.00 Non
More Info
Teaching and Leading Children (TLC)-MISD 4/1/10
on Thursday, April 1, 2010 at MISD, 44001 Garfield, Clinton Twp.
Cost:
$28.00
Tickets:
1
2
Parenting Partner:
More Info
Department of Transportation Workshop for Drivers
on Wednesday, April 14, 2010 at CARE's WorkLife Solutions
Cost:
$15.00
Non-Contracted:
$50.00
Tickets:
1
2
Parenting Partner:
More Info
Department of Transportation Workshop for Supervisors
on Wednesday, April 14, 2010 at CARE's WorkLife Soultions
Cost:
$15.00
Non-Contracted:
$50.00
Tickets:
1
2
Parenting Partner:
More Info
Parenting Young Children-Hope Church 4-15-10
on Thursday, April 15, 2010 at Hope United Church of Christ, 32500 Utica Rd., Fraser
Non-Contracted:
$30.00
Tickets:
1
2
Parenting Partner:
C / + $15.00 Non
More Info
Adolescent Anger Management 9-11 years
on Thursday, April 15, 2010 at CARE, 31900 Utica Rd., Fraser
Cost:
$120.00
Tickets:
1
2
Parenting Partner:
More Info
Adolescent Anger Management 12-14 years
on Thursday, April 15, 2010 at CARE, 31900 Utica Rd., Fraser
Cost:
$120.00
Tickets:
1
2
Parenting Partner:
More Info
Parenting School Aged Children-SCS Adult Ed 4/15/10
on Thursday, April 15, 2010 at SCS Adult Ed Northshore, 23055 Masonic, St. Clair Shores
Non-Contracted:
$30.00
Tickets:
1
2
Parenting Partner:
C / + $15.00 Non
More Info
Parenting Teenagers-Henry Ford Hospital Warren 4/22/10
on Thursday, April 22, 2010 at Henry Ford Hospital Warren Campus, 13355 E. 10 Mile, Warren
Non-Contracted:
$30.00
Tickets:
1
2
Parenting Partner:
C / + $15.00 Non
More Info
Parenting Young Children-Shepherd's Gate 5-6-10
on Thursday, May 6, 2010 at Shepherd's Gate Lutheran Church, 12400 23 Mile, Utica
Tickets:
1
2
Parenting Partner:
