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Training Registration
A new approach to training is being implemented for 2008. Please contact Nancy at 417-866-8864 or email her at nferguson@afterschoolmentoring.org
Name:
Home Address:
City:
State:
Zip:
Email:
Home Phone:
Cell Phone:
Work Phone:
Church Name:
Church Address:
City:
State:
Zip:
Church Phone:
Pastors Name:
What center are you interested in opening? (choose one)
KidCare America Center
Thrive Student Center
What is your role at the Center?
Director
Mentor
Volunteer
PO Box 14617 | Springfield, MO 65814 | Provided by
X Factor Consulting, LLC
|