2023 Conference Individual Registration Form Personal Information First Name * Last Name * Home Phone Personal Email * Food Allergies or Restrictions? * Yes No Home Address Line 1 City State Zip Code County NJCCIS # Please select all to represent your Professional Role: Infant caregiver Toddler caregiver Preschool caregiver Family Childcare Provider Director/Leadership Support Professional (QIS, TAS, ITS, etc) OtherOther Employer Information Employer Name * Employer Address Work Email * Work Phone CITE Membership Chapter Please select your chapter: * Northwest (Morris, Hunterdon, Sussex, Warren) Northeast (Bergen, Hudson, Passaic) University (Somerset, Middlesex, Union, Essex, Mercer, Monmouth, Ocean Southern (Atlantic, Cape May, Gloucester, Salem, Cumberland, Camden, Burlington Central (Profesionales de habla hispana) Please identify your preferences below using the workshop number. Your alternate choices allow us to meet your preferences should a cancellation occur. Morning Session 11 am – 1 pm First Choice * Choose a Session Number Session 1: Tiempo Libre Cuerpos en Movimiento (Tummy Time for Busy Bodies) Session 2: Lessons Born from the Pandemic Session 3: Empowering Parents & Caregivers as their Child's First Teacher (SPAN) Session 4: Self-Knowledge: An Exploration into the Heart of Teaching Session 5: Inclusion: Everyone Belongs Here (SPAN) Session 6: Morning Director's Track Second Choice * Choose a Session Number Session 1: Tiempo Libre Cuerpos en Movimiento (Tummy Time for Busy Bodies) Session 2: Lessons Born from the Pandemic Session 3: Empowering Parents & Caregivers as their Child's First Teacher (SPAN) Session 4: Self-Knowledge: An Exploration into the Heart of Teaching Session 5: Inclusion: Everyone Belongs Here (SPAN) Session 6: Morning Director's Track Third Choice * Choose a Session Number Session 1: Tiempo Libre Cuerpos en Movimiento (Tummy Time for Busy Bodies) Session 2: Lessons Born from the Pandemic Session 3: Empowering Parents & Caregivers as their Child's First Teacher (SPAN) Session 4: Self-Knowledge: An Exploration into the Heart of Teaching Session 5: Inclusion: Everyone Belongs Here (SPAN) Session 6: Morning Director's Track Afternoon Session 2 pm – 4 pm First Choice * Choose a Session Number Session 9: . Developing Learning Foundations Using Reflective Journaling Session 10: Good Going! Successful Practices for Toilet Training Session 11: Act Early. Developmental Milestones Checklists - An Overview of 2022 Revisions and Updates (SPAN) Session 12: Creacion de Acuerdos: Trabajar Juntos Para Resolver Conflictos (Creating Agreement: Working Together to Resolve Conflict) Session 13: In Our Hands and With Our Words Session 14: Afternoon Director's Track Second Choice * Choose a Session Number Session 9: . Developing Learning Foundations Using Reflective Journaling Session 10: Good Going! Successful Practices for Toilet Training Session 11: Act Early. Developmental Milestones Checklists - An Overview of 2022 Revisions and Updates (SPAN) Session 12: Creacion de Acuerdos: Trabajar Juntos Para Resolver Conflictos (Creating Agreement: Working Together to Resolve Conflict) Session 13: In Our Hands and With Our Words Session 14: Afternoon Director's Track Third Choice * Choose a Session Number Session 9: . Developing Learning Foundations Using Reflective Journaling Session 10: Good Going! Successful Practices for Toilet Training Session 11: Act Early. Developmental Milestones Checklists - An Overview of 2022 Revisions and Updates (SPAN) Session 12: Creacion de Acuerdos: Trabajar Juntos Para Resolver Conflictos (Creating Agreement: Working Together to Resolve Conflict) Session 13: In Our Hands and With Our Words Session 14: Afternoon Director's Track Conference Total If you are human, leave this field blank. Pay & Submit Registration Δ .
