LATC

Registration Form

Plan Of Care Training

04/103/2016 Thru 04/104/2016

-EVENT LOCATION-
Hathaway-Sycamores
1411 N Grand Ave Suite 100
Covina CA 91724

Contact Info:
Mark Riddle (310) 466-1269
latconline@gmail.com

IMPORTANT INFORMATION:

All training modules start promptly. Please allow for traffic conditions when planning trip.

Training location is at the intersection of Arrow Hwy & N. Grand Ave. The nearest landmark is In-N-Out Burger.

Lunch is not provided.

Trainee Information

Name Of Trainee:
Position of Trainee:
Email Address of Trainee:
Agency:
Service Provider Area (SPA): *For LA County Agencies Only
Program Manager's Name:
Program Manager's Phone:
Program Manager's Email:

Class Information

Date	Location	Cost
Apr 103, 2016 9am-4pm & Apr 104, 2016 9am-4pm	Hathaway-Sycamores 1411 N Grand Ave Suite 100 Covina CA 91724 Contact Info: Mark Riddle (310) 466-1269 latconline@gmail.com	$250

Date

Location

Cost

Apr 103, 2016 9am-4pm
&
Apr 104, 2016 9am-4pm

Hathaway-Sycamores
1411 N Grand Ave Suite 100
Covina CA 91724

Contact Info:
Mark Riddle (310) 466-1269
latconline@gmail.com

$250