Ensuring Children's Voices
Registration Form

Registration Fee (includes lunch) (circle category):
$125 - Attorneys
$75 - Social Workers/Court Personnel
$15 - Students

Unfortunately, the KACC is unable to accept credit/debit card payments.

Registrations are due by Friday, March 5, 2010.

Print and complete this page. Mail with your check (payable to: KACC) to:

Washburn University School of Law
Attn: Donna Vilander
1700 SW College Ave.
Topeka, KS 66621-1140
Phone: (785) 670-1105

Name:     _____________________________________________

Firm/
Business: _____________________________________________

Address:  _____________________________________________
          Street

          ______________________________________________
          City               State                 Zip

Phone:    ______________________________________________

E-mail:   ______________________________________________

Lunch:    Lenten (meatless): ________  Regular: ________

Cancellations:
If you cannot attend the seminar, you may send a substitute. If you cancel your registration at least two (2) business days prior to the seminar, your registration fee will be refunded. After that date, non-attending registrants will receive the course materials. Please allow two weeks for delivery. The sponsors reserve the right to cancel this seminar and return all fees.

Assistance for Special Needs:
If you require any special services or auxiliary aids to assist you while attending the program, please contact Donna Vilander at (785) 670-1105.

Ensuring Children's VoicesRegistration Form

Ensuring Children's Voices
Registration Form