Family Matter Parent Training & Information Center

Registration for Family Matters Trainings

Notice: This online registration is only for Family Matters Trainings.
Do not use to register for trainings or conferences sponsored by other agencies.

This online form is provided for you to register for a workshop of your interest. Upon completion of this form, fill in the security box and hit "submit" button. This will send your information. Once your information is sent to FMPTIC, a new web page will open, with a thank you message.

If this page does not open for you, your information was not successfully sent. If a page opens telling you that you have entered the wrong security code, hit your back button on your browser and re-enter the security code. Retry sending again, if this fails, please contact FMPTIC at 1-866-436-7842, ext. 107 to register.

Date of Workshop:

Preferred Session: am pm
Select your preference if a morning or afternoon session is offered.

Location:

Name(s):

Agency/Organization:

Address (Work or Home):

City:

State: Zip:

Home Phone:

Work Phone:

Email Address:

Parents, Please Fill Out The Following:
Child's Name:

Birthdate:

Disability/Diagnosis:

If accommodations are needed please list details (i.e., interpreter, special diet).
Please specify below.

Family Matters will need at least 2 weeks prior to the date of the training
to process your accommodation requests.

Enter the security code in the box below and hit "SUBMIT".

Enter security code