Registration Module 34: Childcare Seat Safety Please register for our training event by filling in the form below Name * First Last * Last Spouse/Partner Name If Attending Email * Phone Number * Street Address * City * State * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code * Choose your class * Virtual Training | November 27 | November 27 | 1 Monday | 6:00pm-8:00pm Virtual Training | December 14 | December 14| 1 Thursday| 6:00pm-8:00 pm I am an * Private Agency Licensed Home (please provide name) DCF Licensed Foster Home DCF Licensed Pre-Adoptive Home DCF Relative Care Home DCF Special Study Home DCF Authorized Respite Home Adoptive Family Home DCF Staff Member Other Independent Licensed Name of Private Agency Licensed Home Captcha If you are human, leave this field blank.
