www.kernschoolpsych.org/registration.htm
Registration Form

Space is limited... REGISTER NOW!!! 
 

KASP's ANNUAL FALL WORKSHOP & HOLIDAY LUNCHEON 

The Kern Association of School Psychologists is proud to present our Annual Workshop and Holiday Luncheon on Friday, December 15th, 2006. 

Kim Smith, Pharm. D., University of the Pacific, will be presenting, "Psychopharmacology for Children and Adolescents" from 9:00 am to12:00 noon.  Lunch will follow the workshop. 

The $40.00 registration fee includes the workshop, morning refreshments (including Hodel's famous cinnamon rolls), Hodel's spectacular buffet lunch... AND KASP 06/07 MEMBERSHIP!!!  This is a great value! 

For Questions: 
Contact Traci Taber Rivas directly at: rivast@gfusd.k12.ca.us

To Register:
Print out this registration/signup form, include payment (no PO's accepted), and send to the address listed below.  Upon receipt, Traci will send an e-mail confirming receipt of your registration and payment. 
 

--- Return this portion to KASP ---------------------------------------------------
 

Name: ______________________________________________________  Phone: ________________________

Address: ___________________________________________________________________________________

School District or Agency: ______________________________________________________________________

Position: ___________________________________________________________________________________

E-mail Address: _____________________________________________________________________________
 

Mail this registration with $40.00 payment to:

Traci Taber Rivas
KASP Secretary
1109 Pacheco Raod
Bakersfield, CA  93307


Upon receipt, an e-mail confirming receipt of your registration and payment will be forwarded to you.
 
 
 

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