SDHP's Event Registration Form

INFO

Thank you for your interest in registering for the Fair Housing training currently scheduled for October 17, 2019, from 2:30 P.M. to 3:30 P.M.
Please complete this registration form to confirm your attendance. Space is limited; therefore, if you will be unable to attend this event for any reason, please notify the SDHP team at events@sdhp.org.

Attendees Contact Information

*First Name		*Last Name
*Title		*Email
*Phone		*Street Address
*City		*State
*Zip code		* County
Copy this address to organization's address?

Organizational Affiliation

* Name of Organization/Entity		*Type of Organization/Entity
*Street Address		*City
*State		*Zip Code
*County		*Phone Number

Additional Information

Select Your SDHP Region (Region Map)		Is this your first time registering for a training with SDHP?
How did you hear about this training?		Why are you interested in attending this training?