TALK Learning Session Registration

Please complete the form below to register for the Thursday, August 4, 2016 in-person learning session at the Ohio AAP Offices at 94-A Northwoods Boulevard in Columbus. The session will take place from 12:00-5:30pm.

First Name
Last Name, Credentials
First Name
Last Name, Credentials
First Name
Last Name, Credentials
First Name
Last Name, Credentials
Please indicate if any individuals have special dietary restrictions/food allergies. If yes, use the space to indicate the individual and their restriction.