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Training Registration

There are three ways to reserve your spot for KCW Spring 2010 National Training in New Orleans.

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, April 2, 2010. Regular Registration by attendees must be received on or before Friday, April 30, 2010. To get the discounted hotel rate of $119.00/night, taxes exclusive, make your hotel reservations by Friday, April 16, 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 May 3, 2010. Fees will be refunded less a $100.00 administrative charge if received by May 3, 2010. After May 3, 2010, registration fees are not refundable but registration may transfer to another individual or a later training.

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