Event Registration Form/Registro al Evento

CODSN Spanish Emergency Preparedness Training - Klamath Falls

06/06/2023 06:00 PM - 08:00 PM PT

Admission

Free

Esta es una capacitación de dos partes donde se espera que los participantes asistan a ambas sesiones. Parte 2 de esta capacitación será el 20 de junio de 6:00 a 8:00 p. m. Por favor planee asistir a ambas sesiones para recibir su kit.

This is a two-part training where participants are expected to attend both sessions. Part 2 of this training will be on June 20th, 6:00 - 8:00 pm. Please plan on attending both sessions to receive your kit.

CONTACT INFORMATION/ INFORMACIÓN DE CONTACTO

Number of people (maximum 2)/Número de personas (2 máximo) First Name/ Nombre Last Name/ Apellido Email /Correo electrónico Primary Phone/Teléfono Address/Domicilio City/ Ciudad Zip / Código Postal - County / Condado: (eg: Crook, Deschutes, Grant, Harney, Jefferson, Klamath, Lake, Wheeler) State/ Estado Primary Role/ Su rol primario Primary Language/ Lenguaje If you need accommodations please list them here/Si necesita adaptaciones, indíquelo aquí. Photo/video Release - I/We hereby give consent to Central Oregon Disability Support Network (CODSN ) and all programs under CODSN to photograph or Video our child/self to educate others about the programs and services offered by CODSN. Among the uses contemplated are illustration of articles in newsletters, TV news articles, in profiles that contributors receive, in brochures, to illustrate services discussed on the website, in displays at community fairs, to publicize local programs, to make professional presentations, and to publicize the equipment and teaching methods used. In giving approval, I/we understand it is without consideration of compensation of any kind, and CODSN is released from any claims or liability.

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