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Videoconferencing

Early Childhood Videoconferencing On-line Registration Form

Please be sure to fill in all of the fields below. Click the "Register" button to submit your form for processing.

Please note that you need Adobe Acrobat Reader to view the confirmation page and that a confirmation page will not be mailed.

First Name  
Last Name  
Address  
Apartment  
City  
State  
Zip  
Home Phone   (xxx)xxx-xxxx  
Work Phone    (xxx)xxx-xxxx  
E-mail  

 

I am a:

Please indicate three separate site locations. You will be registered based on seating availability and order of preference.


I want to attend videoconference training at this site:

To select your site choices, use the arrows to open the drop-down menus, and click on the site you would like to attend. Click the Site List button if you would like to view a list of sites in a new window.

Please be sure to select three sites in case your first site is unavailable.
1st Choice  
2nd Choice  
3rd Choice  

I want to attend the following videoconference trainings:
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Professional Development Program| 22 Corporate Woods Blvd., 3rd Floor, Albany, NY 12211 | 518.443.5940