Training Confirmation Form

  Please confirm the following information: Training Dates ________  to  ________

Number of teachers for Maturing in Body and Character ________ Administrators ____ Visitors _____

Dates of training ______________________________ Starting Time ________ am - ________ pm

Number of Sets for training event _______ (Recommend one training set per teacher)

Number of teachers for Me, My World, My Future ________ Administrators ____ Visitors _____

Dates of training______________________________________ Starting Time ________ am - ________ pm

Number of Sets for training event _______ (Recommend one training set per teacher)

Number of teachers for Sexuality, Commitment and Family ________ Administrators ____ Visitors _____

Dates of training _______________________ Starting Time ________ am ________ pm

Number of Sets for training event _______ (Recommend one training set per teacher) All curriculum sets must be purchased or returned to the Teen-Aid office for credit.

Are there any additional meetings to be conducted  ________________________

Specify time ________to:_________ Audience ________________   

Purpose  ___________________________

Accommodations  (Billing is to be directly to the school district)

Name of Hotel _______________________________________________________________________

Address (City, state, zip): ______________________________________________________________________

Phone: ____________________________      Fax: ____________________________

Signature: ____________________________________________________

This form can be printed off and sent to:

Teen-Aid, Inc.

723 E. Jackson

Spokane, WA 99207

Phone: 509-482-2868

Fax: 509-482-7994

E-mail: teenaid@teen-aid.org