2014 Child Fatality Review Training Registration Form

Each training location is reserved for the first 50 registrants. Please select your first and second preference, provide us with your contact information, and fax this form to 404-656-5200. Upon receipt of this form, you will receive a registration confirmation within 3 business days (please notify our office if you do not receive confirmation).

March 11 Lowndes Co/Valdosta
Valdosta-Lowndes Conference Center / March 13 Catoosa Co/Ringgold
Catoosa Learning Center / March 19 Washington/Sandersville
Oconee Fall Line Technical College
March 20 Houston Co/Perry
Houston County Superior Court / March 24 Emanuel Co/Swainsboro
Emanuel County Courthouse / March 25 Muscogee Co/Columbus
Columbus Government Center
March 28 Elbert Co/Elberton
Athens Technical College/Elbert Campus / March 31 Ware Co/Waycross
Mayo Clinic Health System / April 15 Cobb Co/Marietta
Cobb Superior Court
April 17 Dougherty Co/Albany
Dougherty County Courthouse / April 21 Chatham Co/Savannah
Memorial University Medical Center / May 6 Richmond Co/Augusta
Augusta Technical College
May 8 Union Co/Blairsville
Union County Courthouse / May 16 Gwinnett Co/Lawrenceville
Gwinnett Justice/Admin Center

First Preference 2nd Preference

Name County

Agency Email