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RIAIMH: Expanding Infant/Early Childhood Mental Health Principles and Practices

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Registration Form

Date:  May 11, 2016
Registration/check-in and morning refreshment is 8:30-9:00 AM
Program: 9:00 AM - Noon


Location:  Rhode Island College,
                  Student Union Ballroom, 3rd floor

                  600 Mt. Pleasant Avenue
                  Providence, RI 02908


Reasonable Accommodation Requests: Use the space provided to request ASL Interpreters, materials in alternate format, special dietary requests for medical reasons, etc.  To ensure your needs are met, please make your requests by April 22, 2016

Registration Deadline: May 2, 2016

Confirmation:  Upon submitting the registration form you will receive an email Confirmation, Directions and required Parking Pass. If you do not receive that email confirmation, it means you may not be registered. Contact Elaine Sollecito at the Sherlock Center for assistance at esollecito@ric.edu or 401-456-2764. 
 
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CONTACT INFORMATION:
Please use the space below to request a reasonable accommodation (e.g., ASL Interpreter, large print, special dietary request for medical reasons, etc.). To make a request after submitting this form, contact Elaine Sollecito at esollecito@ric.edu or 401-456-2764.
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IMPORTANT: You must hit the submit button below and get to the Thank You page to finalize your registration. Upon successfully submitting the registration form you will receive an email Confirmation, Directions and required Parking Pass. If you do not receive that email confirmation, it means you may not be registered. Contact Elaine Sollecito at the Sherlock Center for assistance at esollecito@ric.edu or 401-456-2764
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*Note:  Registration fees will not be refunded for registrations processed or cancelled after XXXX, however, you may transfer the registration to another member or your organization or family.
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