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Training Registration

There are three ways to reserve your spot for KCW Fall 2010 National Training in San Francisco.

Register online using the form below. This form will allow you to register up to 7 people. If you need to register more, you will need to complete a second form.
Print, fill out, and mail or fax the registration form to 2304 Sherbrooke Drive NE, Atlanta, GA 30345 or fax (404) 636-7767.
Phone or email us at (404) 320-7126 or deun@kempscaseworks.com

Early Registration Deadline is Friday, September 17, 2010. Regular Registration by attendees must be received on or before Wednesday, October 13, 2010. To get the discounted hotel rate of $119.00/night, taxes exclusive, make your hotel reservations by Friday, September 24, 2010. However, we do recommend you register early to reserve your spot.

Organization Information

Organization Name:
Address:
City:		State:
Zip:
Primary Contact:
Phone:	Fax:
Email:
Website:
Which version of Clients are you currently using?

1st Trainee Name:
1st Trainee Email:
Has the trainee attended a Kemp's Case Work National Training in the past?
Special training requests:
How to create my own forms, run a specific report, build special program, etc.

2nd Trainee Name:
2nd Trainee Email:
Has the trainee attended a Kemp's Case Work National Training in the past?
Special training requests:
How to create my own forms, run a specific report, build special program, etc.

3rd Trainee Name:
3rd Trainee Email:
Has the trainee attended a Kemp's Case Work National Training in the past?
Special training requests:
How to create my own forms, run a specific report, build special program, etc.

4th Trainee Name:
4th Trainee Email:
Has the trainee attended a Kemp's Case Work National Training in the past?
Special training requests:
How to create my own forms, run a specific report, build special program, etc.

5th Trainee Name:
5th Trainee Email:
Has the trainee attended a Kemp's Case Work National Training in the past?
Special training requests:
How to create my own forms, run a specific report, build special program, etc.

6th Trainee Name:
6th Trainee Email:
Has the trainee attended a Kemp's Case Work National Training in the past?
Special training requests:
How to create my own forms, run a specific report, build special program, etc.

7th Trainee Name:
7th Trainee Email:
Has the trainee attended a Kemp's Case Work National Training in the past?
Special training requests:
How to create my own forms, run a specific report, build special program, etc.

Date Check will be mailed:
Additional Comments:

Cancellation Refund Policy

Cancellations must be emailed to Shalanda (Deun) Smith-Thomas at deun@kempscaseworks.com no later than Monday, October 18, 2010. Fees will be refunded less a $100.00 administrative charge if received by Monday, October 18, 2010. After Monday, October 18, 2010, registration fees are not refundable but registration may transfer to another individual or a later training.

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