2014 CONFERENCE REGISTRATION FORM
Complete the registration form below indicating the sessions you wish to attend.
Final course assignments will be made on a first-come, first-served basis.
The conference fee is $100.00 which includes breakfast, lunch, and break refreshments in the morning and afternoon each day.
Payments shall be made payable to Kean University and returned with completed registration form to:
Fire Safety Training Program
1000 Morris Avenue, T106
Union, NJ 07083
All payments must be received as check no later than November 21, 2014. Please note that payment
arrangements must be complete prior to start of the conference or attendee will be denied admission.
For more information, contact Charles Lavin, Juvenile Firesetter Program Manager, at (609) 633-9722 or
email at Charles.Lavin@dca.nj.gov