Enough Abuse

		EMAIL SIGN ON	PASS IT ON

Taking Action to Prevent Child Sexual Abuse:
Strategies for YOUR Community
Wednesday, March 2, 2005
8:30 AM - 4:30 PM

Best Western Royal Plaza - 181 Boston Post Road - Marlborough, MA
CONFERENCE REGISTRATION
** Miss the registration deadline? Call 617-742-8555 x1 **

Agenda ~ Workshops ~ Registration ~ Directions & Room Rates

Exhibitor Inquiry ~ Print Registration Form ~ Print Conference Brochure

ON-LINE CONFERENCE REGISTRATION
To mail in your registration form, please download form here.

Your Name:

Phone:

Address:

Your Email:

City:

State:

Zip:

Organization:

Pilot Site/ Partnership Member?
NO
The Gloucester Child Sexual Abuse Prevention Partnership
The Newton Partnership to Prevent Child Sexual Abuse
North Quabbin Community Coalition
MCSAPP Member

CONFERENCE FEES
Payment can be made 1) online through PayPal or
2) by check made payable to Massachusetts Citizens for Children
14 Beacon Street, Suite 706 - Boston, MA 02108

Registration fee: (non-refundable)

$50

$25 Pilot Site/ Partnership Member

*Some scholarships are available. If you have questions or require special accommodations,
please call 617-742-8555, extension 1.

6.0 Continuing Education Units
(PLEASE ADD AN ADDITIONAL $15 TO YOUR ABOVE REGISTRATION FEE):
Please choose ONLY ONE
NONE
Educator
Licensed Mental Health Counselor
Nurse
Social Worker

WORKSHOP SESSIONS

Session I (11:00 AM - 12:30 PM):

Session II (1:00 PM - 2:30 PM):

Session III (2:45 PM - 4:15 PM):

WORKSHOP SELECTIONS
Please indicate your 1st and 2nd choice for all sessions

Session I:

Session II:

Session III:

Comments:

This conference is organized by the Massachusetts Child Sexual Abuse Prevention Partnership (MCSAPP) and funded through a grant from
the federal Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control.