Please complete the information below to pre-register for one of the Eastern Region workgroup sessions presented by the Pennsylvania Bureau of Autism Services.

If a session is marked as full, you may still register, but will be placed on a waiting list to be notified if space becomes available.

Name:

Phone Number:

E-mail Address:

Session:

(select one) Wednesday, June 24, 2009 – Downingtown, PATuesday, June 30, 2009 – Dushore, PA