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Parenting Conference Registration Form

WTIU For the Love of Kids: Positive Practical ParentingWHEN: Saturday, October 13, 2007 from 8:30am to 12:30pm

WHERE: WTIU

COST: $15 in advance

KEYNOTE SPEAKER: Paula Statman, author of Raising Careful, Confident Kids in a Crazy World

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Required fields are marked with an asterisk (*).

Participant Information

Name *

Name (additional participant)

Street Address *

Street Address Line 2

City *

State *

ZIP *

Phone *

E-mail *

Yes! Please send me additional information on For The Love of Kids parenting services (e-mail address required). For The Love of Kids parenting services include a newsletter, seminars and teleseminars, online coaching and other online services.

Yes! Please sign me up for E-Notes, the WTIU e-mail newsletter (E-mail address required).

Yes! Please send me more information about the benefits of becoming a WTIU member.

Payment Information

Registrations are transferable, but non-refundable. Registration acknowledgment will be sent to the mailing address entered on this form.

I am registering: *

Optional Donation

I can’t attend this year’s Parenting Conference, but so that others may attend I would like to contribute:

no donation $15 $30 $45

The WTIU For the Love of Kids Parenting Conference is presented by:

WFIU The Herald-Times: See What's In It For You

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