Champions for Change: The Power of a Personal Story - IPUL's Self Guided Training

Once you have registered,  you will be sent an email with your registration confirmation as well as a link so you can view the training later at your convenience - you will also be directly sent to the module. 

Save a bookmark to the module to be able to see it any time.
Information About You
Professional Information
Only if different from above
Only if different from above
Information About Your Child
      Please only enter information for an individual child, you will be able to add more children below.
Information About Your Child (2)
      Please only enter information for an individual child, you will be able to add more children below.
Information About Your Child (3)
      Please only enter information for an individual child, you will be able to add more children below.
If you have more than three children that you need assistance with, our Parent Education Coordinator will take your information directly. 
Training Information
Incredibly Important Back End Stuff
(Hidden from person filling form, but needs to be set up when building the registration or everything will be for naught and you will spend several days trying to fix your data WITH WOE IN YOUR HEART AND A POX UPON YOUR HOUSE)

separate with semicolon and put in Default Value under Options
EXAMPLE: 
MCHB F2FHIC; PTI 

(THESE NEED TO MATCH SALESFORCE OR PAIN WILL RESULT)