Child Care Meal Quality - Virtual Forums
Complete this form to register for one or more of the following MQ Forums: Introductory Forum, or the Advanced Forums, each held on April 10th and 11th. These virtual forums will be held over Zoom and conducted exclusively in English, which includes presentations, discussions, and training materials. Your registration is not completed until you sign the Registration Documents, which will be sent to you via email within the next 48 hours. If you have any questions, you can reach us at childcareforums@wested.org or via phone at 1-800-770-6339.
Attendee Information
Please enter your name and contact information below. If you are registering additional participants, each attendee must complete their own registration form. At this time, registration is limited to two participants per agency. If you have additional team members who would like to attend, please email childcareforums@wested.org. We will notify you if space becomes available.
Your Name
*
First Name
Last Name
Email Address
*
Confirmation Email
example@example.com
Contact Number
*
Please enter a valid phone number.
Job Title
*
Company/Organization
*
Work Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone Number
*
Please enter a valid phone number.
Which County do you work in?
*
Please Select
Alameda
Alpine
Amador
Butte
Calaveras
Colusa
Contra Costa
Del Norte
El Dorado
Fresno
Glenn
Humboldt
Imperial
Inyo
Kern
Kings
Lake
Lassen
Los Angeles
Madera
Marin
Mariposa
Mendocino
Merced
Modoc
Mono
Monterey
Napa
Nevada
Orange
Placer
Plumas
Riverside
Sacramento
San Benito
San Bernardino
San Diego
San Francisco
San Joaquin
San Luis Obispo
San Mateo
Santa Barbara
Santa Clara
Santa Cruz
Shasta
Sierra
Siskiyou
Solano
Sonoma
Stanislaus
Sutter
Tehama
Trinity
Tulare
Tuolumne
Ventura
Yolo
Yuba
What type of child care facility do you work with?
*
Please Select
Family Child Care Home
Center-Based Child Care
Please enter your license number
*
Please select which agency you belong to. If you are unable to find your agency on the list provided, please contact Madison Fellenz, CDSS Nutrition Education Consultant, by email at Madison.Fellenz@dss.ca.gov.
*
Which language do you want your registration forms in?
*
English
Spanish
My Products
*
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Introductory Meal Quality Forum Ticket - 4/10
This ticket is good for the Child Care Introductory Meal Quality Forum held on April 10th from 9am to 12pm PST
$
Free
Advanced Meal Quality Forum Ticket - 4/10
This ticket is good for the Child Care Advanced Meal Quality Forum held on April 10th, 12:30pm - 3:30pm PST
$
Free
Introductory Meal Quality Forum Ticket - 4/11
This ticket is good for the Child Care Introductory Meal Quality Forum held on April 11th from 9am to 12pm PST
$
Free
Advanced Meal Quality Forum Ticket - 4/11
This ticket is good for the Child Care Advanced Meal Quality Forum held on April 11th, 12:30pm - 3:30pm PST
$
Free
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