DEC ONLINE MEMBERSHIP SEMINAR REGISTRATION / SIGN UP FORM

To register for your event, please fill out the following and press the submit button.  Your information will be sent to the listed Event Coordinator and your registration process will be complete.

Thank you for using the Event Registration / Sign Up system.  We hope this made things a little easier.

* denotes required field for submission

Event / Date:
Choose Your Date: 2008 Sessions  
  Saturday, May 10th - 9:00 AM - Noon
  Monday, July 21st - 6:00 PM - 9:00 PM (only 2008 evening mtg)
  Saturday, October 18th - 9:00 AM - Noon

First Name*:

Last Name*:

Email*:

Contact Phone*:

Town*:

State*:

How long have you been attending DEC?*:
   

(if applicable)

 

Spouse's First Name:

Spouse's Last Name:

Will Your Spouse Be Attending Too?:

 

 

Will you be needing child care?:

(available for children 13 and under)

Yes

No

Not applicable
If so, how many children will you be bringing?
If so, what are the ages of your children?: Child 1 Child 2 Child 3 Child 4 Child 5
   
Any other information or comments that you wish to include with your submission: