2024 Early Head Start - Child Care Partnership Pre-Service Conference
August 1 - 2, 2024
Thursday 8:00 AM to 6:30 PM, Friday 8:30 AM to 5:30 PM CDT
Embassy Suites by Hilton Birmingham Hoover
Privacy Statement
Registrant Information (required fields are marked with *)
*First Name:
*Last Name:
*Program Partner:
Alfred Saliba
Auburn
CAPNA
CSPWAL
GRECS
TCR
*Type of Program:
Child Care Center (Center-Based)
Family Home
DHR
DECE (AL DECE Staff Only)
*Name of Center or Family Home:
*EHS-CCP Role:
EHS Staff (ADECE Coach, Quality Specialist or Admin)
Program Partner
Director
Teacher
DHR Staff
*Teacher Status:
New (has been employed with EHS-CCP for LESS than <2 years)
Veteran Teacher (has been employed with EHS-CCP for more than >2 years)
Not a Teacher
*Need for Accessibility Accommodations?
Yes
No
Accessibility Accommodations Details:
*Mailing Address:
*City:
*State:
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
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Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
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Yukon Territory
*Zip Code:
*Daytime Phone
(
no dashes or spaces
):
*Email:
*T-Shirt Size:
Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
*Dietary Restrictions:
None
Vegetarian
Vegan
Gluten-Free
Other
Dietary Restrictions Other:
Finalize Registration
There is no fee for this program.
By registering online, a seat will be secured for the person named above.
