Central Texas North Texas Dallas East

Central Texas North Texas Dallas East

2019 ACKNOWLEDGEMENT OF PATERNITY (AOP) SEMINAR REGISTRATION FORM SEATING IS LIMITED. PLEASE REGISTER AS SOON AS POSSIBLE. Refer to the seminar schedule for dates, times and locations. REGISTER: 1) Type or legibly print the requested information. 2) Email or fax the completed form to the person listed for the area where the training will be held. Central Texas North Texas Dallas Elizabeth Galvan Alvin Garrett [email protected] [email protected] Fax (512) 358-3222 Fax (214) 915-3774 East Texas North Texas Fort Worth Erin Henriksen Liliana Gonzalez [email protected] [email protected] Fax (903) 533-4075 Fax (817) 834-7068 El Paso & Lower West Texas San Antonio & Southwest Texas Barbara Ramirez Leticia Cantu & Denise Young [email protected] [email protected] Fax (915) 772-3804 [email protected] Fax (210) 337-5340 or (210) 337-5456 Greater Houston Area South Texas & Laredo Aimee Evins Blanca Briseno [email protected] [email protected] Fax (713) 863-2844 Fax (956) 926 - 4542 Houston West Texas & Panhandle Guadalupe Matschiner Tracy Murphree & Sara Johnson [email protected] [email protected] Fax (713) 787-2641 [email protected] Fax (806) 763-7579 * * IF YOU ARE BEING RECERTIFIED, PLEASE BRING YOUR COPY OF THE AOP MANUAL. * * Attendee (or Group Contact): ____________________________________________________________ Email: _______________________________________________ Telephone: (____) _____ - _________ Represented Facility: ___________________________________________________________________ Mailing Address: ______________________________________________________________________ City: ______________________________________ State: __________________ Zip: ______________ Seminar Location: _____________________________________ Date/Time: ______________________ Number of Name of Attendees: Attendees: Revised May 10, 2019 .

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