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FRG Symposium Registration Form

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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

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FRG Symposium Registration Form

  1. 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 INFORMATIONLast 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 underChildcare? childcare Chipotle Roast Beef WrapLunch will be provided. Please mark which choice you Spinach Turkey Wrapwould 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 CDCChild’s last name: First: Age: If you answered no, childcare cannot be provided throughIs the child registered with CYSS?: NO  YES  CYSS until the child is registeredChild’s last name: First: Age: If you answered no, childcare cannot be provided throughIs the child registered with CYSS?: NO  YES  CYSS until the child is registeredChild’s last name: First: Age: If you answered no, childcare cannot be provided throughIs 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

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