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Workshop Registration Form

(Please complete a separate registration form for each person) Registration Deadline: January 11th.
Discount for registering by January 4th.

The SilverArts Workshop will be January 16, 2019 in Concord. The SilverArts Workshop is designed to provide training for planning, implementing, and rules for the SilverArts program at a Local Senior Games. Registrants are listed on the PPA once the Registration has been processed.
Interested in lunch after adjournment? Here is a Yelp link to area restaurants.

WHEN: Wednesday, January 16, 2019
WHERE: Cabarrus County Senior Center, 331 Corban Ave SE, Concord, (704) 920-3484
Driving Directions

Agenda

COST: A $15 registration fee covers the educational materials and handouts for the Workshop ($25 if received after January 5th). Contact your Local Coordinator regarding possible Games Allowance funds to cover the registration fee and assist with travel costs.

(Please complete a separate registration form for each person) Registration Deadline: January 11th. (Discount for registering by January 4th)

*Required Fields:

*First Name:	*Last Name:	*Valid Email Address:
Local Game:	Agency:
Address:	City:	State:
Zip:	Work Number:	Cell Phone Number:

I understand that I should review the 2019 edition of the NCSG SilverArts Manual:

Payment Options

Pay on-line here:
Mailing a check. Make Checks payable to: NCSG:
Local Coordinator paying with Games Allowance:

We look forward to seeing you at the SilverArts Workshop!

North Carolina Senior Games
4603 Western Boulevard
Raleigh, NC 27606
Phone: 919-851-5456
Fax: 919-851-5456