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Thank you for your interest in attending one of our Information Sessions. To register, please fill out the form below and click the "Submit" button.

Information Session Registration Form

* indicates required field
* Date:
* Name:
* Date of Birth: SSN:   
  Significant Other:
 * Date of Birth: SSN:   
* Address:
* City:  * State:  * Zip Code:
* Telephone #:
   Cell Phone #:
 * E-Mail Address:
 * Information Session you
   would like to attend:                  
 

2009 Information Sessions are held 1 Tuesday
a month from 5:30 PM to 7:00 PM at:
Butler County Children Services
300 N. Fair Ave. Hamilton, Ohio 45011

   
 
 
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