Registration • Health and Education Conference

12 noon to 3 pm: Luncheon conference
Cost, including luncheon and conference materials: $45

Please complete all boxes. Write N/A if not applicable.

Name
Position
School or Organization
Daytime Phone
Email Address
Address

City
State
Zip
Number of People Attending (please complete form for each person)

Please make checks payable to M.V.E.D.

Mail to:
Sally Rosenfeld
c/o Committee for Stress-Free Schools
PO Box 203
Chappaqua, New York 10514

Or call 914-330-9537 to register.