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Thank you for your interest in our Foster Care/Adoptive Parent program. To register
for the Pre-Service training, please fill out the form below and click the "Submit" button.

If you are registering for the Lightning Round and are NOT going to license with Butler County we CANNOT take your registration - You will need to call Brian Callahan at 513-248-1925. We apologize for any inconvenience, thank you.

Pre-Service Training Registration Form

* indicates required field
* Date:
* Name:
* Date of Birth: * SS#
  Significant Other:
  Date of Birth: SS#
* Address:
* City:  * State:  * Zip Code:
* Telephone #:
   Cell Phone #:
* E-Mail Address:
* Choose training:        
* Please select your    
   licensing agency:     
 
  Comments:

    
   
 
 
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