OYC Training Registration Form

Please print out and return

Office for Young Children P O Box 30161, 5303 S Cedar St, Lansing, MI 48909

NAME                                                                                                                                                                        

HOME ADDRESS                                                                                                                                                     

CITY                                                                           STATE                       ZIP CODE                                         

HOME COUNTY                                                       HOME PHONE (                   )                                              

TYPE OF PROVIDER (check one): □ Family   □ Group   □ Center   □ Relative/Day Care Aide   □ Other

LICENSE/REGISTRATION NUMBER                                                                                                                     

WORKSITE NAME                                                                                                                                                   

The above name will be registered for the following classes.  Please mark the trainings below.  A confirmation letter will be sent 1-2 weeks before each scheduled training.  Space is limited and first-come, first-serve.  Any payment that may be required is due with your registration and is non-refundable. (Training is tax deductible as a business expense.)

Please make checks payable to Ingham County.  Mail payment and registration form to Office for Young Children, P O Box 30161, 5303 S Cedar St, Lansing, MI 48909

TRAINING                                                      TRAINING DATE              AMOUNT DUE

 Basic Training – Eagle                                      Sat, Jul 8 & 15                            FREE

 Play – Charlotte                                                  Thur, Jul 20                                  $25

 Inclusion: Special Needs – Lansing                Sat, Jul 29 & Aug 5                        FREE

 Basic Training – Owosso                                Sat, Aug 5 & 12                           FREE

 Beyond Back to Sleep & Shaken Baby                Wed, Aug 9                                 $20

    DeWitt

 Basic Training - Lansing                                  Sat, Sept 9 & 16                          FREE

 Bullying – St Johns                                            Thur, Sept 14                                $25