Safe Routes to School Training Workshop

Complete the following form to register for the workshop. You may register up to 5 people on the same form.

The workshop includes a 30-minute lunch, which is included with the registration fee. If you choose to bring your own brown bag lunch, the registration fee will be waived.

Note: If a session is full or close to capacity, the radio button will be disabled. Please select another session or email Brianna Hernandez to be added to the waitlist.

Agency/Company
Persons Attending: Cost
Name
(First Name, Last Name)
 


Title
E-mail Address
Phone

Session

 

 

Tuesday, November 3
Kennedale Fire Department
Wednesday, November 4
Irving City Hall
Thursday, November 5
Fate City Hall
Lunch ($15)
If no option is selected, you will receive a standard box lunch.
Standard lunch
Vegetarian lunch
Brown bag (I will bring my own lunch)

Name
(First Name, Last Name)
 
Title
E-mail Address
Phone

Session

 

Tuesday, November 3
Kennedale Fire Department
Wednesday, November 4
Irving City Hall
Thursday, November 5
Fate City Hall
Lunch ($15)
If no option is selected, you will receive a standard box lunch.
Standard lunch
Vegetarian lunch
Brown bag (I will bring my own lunch)
 
Name
(First Name, Last Name)
 
Title
E-mail Address
Phone

Session

 

Tuesday, November 3
Kennedale Fire Department
Wednesday, November 4
Irving City Hall
Thursday, November 5
Fate City Hall
Lunch ($15)
If no option is selected, you will receive a standard box lunch.
Standard lunch
Vegetarian lunch
Brown bag (I will bring my own lunch)
 
Name
(First Name, Last Name)
 
Title
E-mail Address
Phone

Session

 

 

Tuesday, November 3
Kennedale Fire Department
Wednesday, November 4
Irving City Hall
Thursday, November 5
Fate City Hall
Lunch ($15)
If no option is selected, you will receive a standard box lunch.
Standard lunch
Vegetarian lunch
Brown bag (I will bring my own lunch)
 
Name
(First Name, Last Name)
 
Title
E-mail Address
Phone

Session

 

 

Tuesday, November 3
Kennedale Fire Department
Wednesday, November 4
Irving City Hall
Thursday, November 5
Fate City Hall
Lunch ($15)
If no option is selected, you will receive a standard box lunch.
Standard lunch
Vegetarian lunch
Brown bag (I will bring my own lunch)
Total
 
Person Sending Registration
Mailing Address
City Zip Code
Business Phone
E-mail Address
 
Payment Method

Credit Card (Visa, Mastercard, Discover, American Express)
You will be redirected to NCTCOG's secure payment site for processing.

Note: No refunds will be processed, but you may send another person in your place.

Please make sure all information is accurate before clicking Submit.
You will not be able to return to this page after being redirected to the secure payment site.