The document contains two registration forms for a workshop on "7 Habits for Highly Effective Families/Adults" and "7 Habits for Highly Effective Teens". The forms request names, contact details, military service information for family members, and photo/press release consent. They specify a January 10th registration deadline and four Tuesday workshop sessions from January to February 2014. Completed forms should be emailed to the provided address.

2. 7 Habits for Highly Effective Families/Adults Registration
REGISTRATION DEADLINE: Friday, January 10, 2014 (Space is limited)
**Please complete one registration per family or one per person; teen registration is a separate
form**
Dates: 4 sessions; Tuesday’s-January 21, 28; February 4, 11, 2014
Name(s): __________________________________________________________
Number Attending: _________
Family member’s service
information:
Service Branch
Component
Deployment Status
□
□
□
□
□
□ Active Duty
□ National
Guard
□ Reserves
□ Currently deployed
□ Recently returned
□ Deployment pending
Air Force
Army
Coast Guard
Navy
Marines
□ Department of Defense Employee
Contact Numbers: ___________________________ __________________________
Cell Number
Back-up Emergency Number
Email Address: ______________________________________
PHOTO/PRESS RELEASE:
I understand the Georgia National Guard Joint & Family Services is developing
photographic and multimedia materials, which will illustrate events occurring throughout
the year for the program. I grant the Georgia National Guard Joint & Family Services
and its associated staff and subordinate entities the right to take, use, reproduce, assign
and/or distribute photographs, films, non-confidential information, videotapes and sound
recordings of the program participants, for use in any such materials as the National
Guard Joint & Family Services or its associated entities may create, without any
payment to or future approval by me. I concur that there shall be no payment for such
use.
____________________________
Parent or Legal Guardian Signature
_____________
Date
**Please send completed registration form(s) no later than Friday, January 10, 2014 to
kara.b.coleman2.nfg@mail.mil**

3. 7 Habits for Highly Effective Teens Registration
REGISTRATION DEADLINE: Friday, January 10, 2014 (Space is limited)
**Please complete one registration per person**
Dates: 4 sessions; Tuesday’s-January 21, 28; February 4, 11, 2014
Teen Name: __________________________ Date of Birth: _____________Age:____
Parent/Guardian Name: _________________________________________________
Contact Numbers: ___________________________ __________________________
Cell Number
Back-up Emergency Number
Email Address: ______________________________________
Gender M _____
F _____
PHOTO/PRESS RELEASE:
I understand the Georgia National Guard Youth Program is developing photographic
and multimedia materials, which will illustrate events occurring throughout the year for
the Youth Program. I grant the National Guard Youth Program and its associated staff
and subordinate entities the right to take, use, reproduce, assign and/or distribute
photographs, films, non-confidential information, videotapes and sound recordings of
the Georgia National Guard Youth Program participants, for use in any such materials
as the National Guard Youth Program or its associated entities may create, without any
payment to or future approval by me. I concur that there shall be no payment for such
use.
____________________________
Parent or Legal Guardian Signature
_____________
Date
**Please send completed registration form(s) no later than Friday, January 10, 2014 to
kara.b.coleman2.nfg@mail.mil**