Registration Form

Plan Of Care Training

10/292/2016 Thru 10/293/2016

-EVENT LOCATION-
Olive Crest
17800 Woodruff Ave
Bellflower CA 90706

Contact Info:
Mark Riddle (310) 466-1269
latconline@gmail.com

ADDITIONAL INFO:
All training modules start promptly. Please allow for traffic conditions when planning your trip.

Lunch is NOT provided.

 

Trainee Information

Name Of Trainee:
Position of Trainee:
Email Address of Trainee:
Agency:
Service Provider Area (SPA):
*For LA County Agencies Only
Program Manager's Name:
Program Manager's Phone:
Program Manager's Email:

Class Information

Date Location Cost
Oct 292, 2016 9am-4pm
&
Oct 293, 2016 9am-4pm

Olive Crest
17800 Woodruff Ave
Bellflower CA 90706

Contact Info:
Mark Riddle (310) 466-1269
latconline@gmail.com

$250