Georgia Association of Homes and Services for Children   

Registration Form

Family Diagnosis
March 30, 2010

Registration Fees: 

___  $65.00 - GAHSC Member                           

___  $85.00 - Non-member

__________________________________________
Name

__________________________________________
Agency

__________________________________________
Address

__________________________________________
 

__________________________________________
Phone

__________________________________________
Email address

Make checks payable to GAHSC and mail with
registration form to:

GAHSC
34 Peachtree Street NW Suite 2230
Atlanta, GA. 30303

Click here for directions

Registration Information

1.   Registration will not be complete if payment (check or purchase order) is not included with registration form. 

2.   Cancellations must be received no later than 10 days prior to workshop to receive a refund. No shows will not be given refunds or allowed to transfer registration to another workshop.

3.    If for any reason you or your staff cannot attend, you may send a substitute. Please notify GAHSC staff of the change.

4.   GAHSC reserves the right to cancel should circumstances necessitate such actions.

5.   CEUs applied for with NASW-GA -- LCPA related CEUs are available.

For more information contact
404.572.6170 or
bernice.wassell@gahsc.org

In accordance with the American with Disabilities Act, please call 404.572.6170 if you have any special needs or dietary requirements.