Individuals wishing to participate in this years Family Readiness Group Symposium should register by 25 Jan. 2013! Download the form and return to Carrie Tate-Meyer: carrie.d.tate-meyer.civ@mail.mil

1. REGISTRATION FORM
FAMILY READINESS GROUP TEAM SYMPOSIUM
February 12, 2013
0900-1530
The Common’s, Fort Drum
Registration Deadline 25 January 2013
Please fill out and return to Carrie Tate-Meyer – carrie.d.tate-meyer.civ@mail.mil
PARTICIPANT INFORMATION
Last name: First:
FRG Position:
Spouse’s Unit:
How long have you held this position?
Will you require *If you answered yes please fill out section below under
Childcare? childcare
Chipotle Roast Beef Wrap
Lunch will be provided. Please mark which choice you
Spinach Turkey Wrap
would like. All meals will come with your water, ice tea.
Roasted Vegetable Wrap with Garlic Aioli
CHILDCARE INFORMATION – OFFERED FROM 8:30AM-4:00PM, MEMORIAL DRIVE CDC
Child’s last name: First: Age:
If you answered no, childcare cannot be provided through
Is the child registered with CYSS?: NO  YES  CYSS until the child is registered
Child’s last name: First: Age:
If you answered no, childcare cannot be provided through
Is the child registered with CYSS?: NO  YES  CYSS until the child is registered
Child’s last name: First: Age:
If you answered no, childcare cannot be provided through
Is the child registered with CYSS?: NO  YES  CYSS until the child is registered
Please fill out and return to Carrie Tate-Meyer via email to carrie.d.tate-meyer@mail.mil. If you are IN NEED of
childcare the registration deadline is 25 January 2013. Registration deadline is 25 January 2013. Any questions
please email Carrie Tate-Meyer or call 772-0084