"Caring For Your Child's Mental Wellness"

     May 29, 2008 (From 8:30 A.M. to 3:30 P.M. --- Free Workshop)

     University of Pittsburgh, William Pitt Student Union

     *Registration Form: (Please register individually on forms.)

      Registration Deadline: May 16, 2008

     Please Print Clearly:

     Name:  _______________________________________________________

     Family Member:  _________Yes______________No

     Organization:  _________________________________________________

     Address:  _____________________________________________________

     City:  _____________________    State:  _______      Zip:  _____________

     Phone No.:  __________________________________________________

     Email:  ______________________________________________________

     *Registration includes conference materials, continental breakfast and lunch. 

     Please check for Vegetarian dish:_______

     Please email the registration forms to:  who@alleghenyfamilynetwork.org 

                                                       or

     Send the registration form to:  Allegheny Family Network, 1945 Fifth Avenue,

                                                      Pittsburgh, PA.

                                                          15219                                                     

     Fax the registration form to:  412-246-0994

     For further information, please call:  412.246.2030