Help

New User Registration

Event Information
Event Title: Peer Advisor Training for Adults Facilitating Youth Organizations
Sub Title: Registration questions, contact Debbie Pinkerton at 920.236.0548
Agency: CESA 6
Location: Green Bay Area School District
200 S Broadway
Green Bay, WI 54303
Facility: Room 138 A/B
Date/Time:
10/18/2017 08:00 PM - 03:30 PM Onsite checkin: 7:30-8:00 a.m.
Your Name
* First Name:
* Last Name:
Preferred Badge First Name:
Work Information
* Organization Type:
WI Public School District
School District not in WI
OR
Agency/Organization
WI Private School
Individual/Parent/Other
* Email: * This will be your login ID
* Confirm Email:
* Password: (must be at least 6 characters long)
* Confirm Password:
* Position / Title:
* Phone Number:
Ext.
Fax Number:
* Do you Require Special Accommodations?
Yes
No
Home Information (Used for summer / holiday mailings)
* Home Address:
* Home City:
* Home State/Country:
For United States and Canada:
For Other Countries:
State:
Country:
* Home Zip:
Home Phone:
Cell Phone:
Home Email:
Categories You Belong To

Please select which categories are important so that we can better meet your needs - matching you to trainings and workshops that pertain to your position/role and ultimately to provide the tools and training to perform your job(s).