Training Registration Request Form

Use this form to request registration for Child Care Answers' face-to-face classes. Find a list of class dates and times at our website at www.childcareanswers.com

You must complete this form by 9am the day before the class to be considered for registration. Completing this form does NOT guarantee a space in the class.
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What type of classes are you requesting? *


 
This form is only used for face-to-face classes. Go to Training Central at www.iaccrr.org via the “Webinars” tab to register for live webinars. 

Do you want to submit a request to register for a face-to-face training?

     
 
Thanks for your interest. Please close this form without submitting.

In the future, you can always find our training calendar and link to this form at www.childcareanswers.com.

 
What is your first name? *

 
What is your last name? *

 
What is your date of birth? *

 
Fill in the fields below for your home address:

 
House number / street name / apartment *

 
City *

 
Zip code *

 
What is your phone number? *

List the number where you would like to be receive class reminders and location information.
 
I am a: *


 
Please review your information below to ensure it is correct. Scroll up to make any corrections if necessary before entering the classes you'd like to request.

 
What is the name of the child care program you work for? *

 
When did you start working at {{answer_28080531}}?

 
What is your position at {{answer_28080531}}?


 
What ages do you serve in your {{answer_28086949}} role at {{answer_28080531}}?


 
Fill in the fields below for the address of {{answer_28080531}}:

 
House number / street name / suite number *

 
City *

 
Zip code *

 
What is the phone number at {{answer_28080531}}? *

 
Tell us about the first training you'd like to request.

Go to www.childcareanswers.com for a full listing of our available trainings.
 
Name of requested training *

 
Date of requested training *

 
Does this training have a fee/charge associated with it?

     
 
Please call our office at (317) 636-5727 to charge any training fees to a credit card. You will NOT be registered for a training until our office receives payment.

 
How did you learn about this training?


 
What is one thing you want to learn at this training? *

 
Would you like to request an additional training? *

     
 
Tell us about the second training you'd like to request.

Go to childcareanswers.com for a full listing of our available trainings.
 
Name of requested training *

 
Date of requested training *

 
Does this training have a fee/charge associated with it?

     
 
Please call our office at (317) 636-5727 to charge any training fees to a credit card. You will NOT be registered for a training until our office receives payment.

 
How did you learn about this training?


 
What is one thing you want to learn at this training? *

 
Would you like to request an additional training?

     
 
Tell us about the third training you'd like to request.

Go to childcareanswers.com for a full listing of our available trainings.
 
Name of requested training *

 
Date of requested training *

 
Does this training have a fee/charge associated with it?

     
 
Please call our office at (317) 636-5727 to charge any training fees to a credit card. You will NOT be registered for a training until our office receives payment.

 
How did you learn about this training?


 
What is one thing you want to learn at this training? *

 
Would you like to request an additional training?

     
 
Tell us about the fourth training you'd like to request.

Go to childcareanswers.com for a full listing of our available trainings.
 
Name of requested training *

 
Date of requested training *

 
Does this training have a fee/charge associated with it?

     
 
Please call our office at (317) 636-5727 to charge any training fees to a credit or debit card. You will NOT be registered for a training until our office receives payment.

 
How did you learn about this training?


 
What is one thing you want to learn at this training? *

 
Would you like to request an additional training?

     
 
Tell us about the fifth training you'd like to request.

Go to childcareanswers.com for a full listing of our available trainings.
 
Name of requested training *

 
Date of requested training *

 
Does this training have a fee/charge associated with it?

     
 
Please call our office at (317) 636-5727 to charge any training fees to a credit or debit card. You will NOT be registered for a training until our office receives payment.

 
How did you learn about this training?


 
What is one thing you want to learn at this training? *

 
Would you like to request an additional training?

     
 
This form limits you to five training requests per submission. To request registration for additional classes, submit this form with your first five requests, then submit an additional form with the remaining training requests.

Thank you for submitting your training registration request. You will receive an email confirming receipt of your request.

Submitting this form does NOT guarantee a space in the class. If a class you've requested is full, our office will contact you within two business days to reschedule. Otherwise, you will receive a notification the evening before your class with important reminders and location information.

Call us at (317) 636-5727 if you have any additional questions, want to confirm your registration, or need to pay a fee for one of your requested classes.
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