| REGISTRATION FORM KIDS 1ST SEMINAR | |
| You must pre-register to attend Kids 1st. | |
| Name: | _________________________ |
| Address: | _________________________ |
| City: | _________________________ |
| State/Zip: | _________________________ |
| Home Phone: | _________________________ |
| Work Phone: | _________________________ |
| Venued County: | _________________________ |
| Date and Place | |
| Date: | _________________________ |
| Place: | _________________________ |
| If you prefer not to attend the same seminar as your spouse (former spouse), please write his/her name:_________________________ | |
| Please return to: Kids 1st 314 West Superior Street #1000 Duluth, MN 55802 |
|
| Make checks payable to: Kids 1st. | |