Connecticut After School Network
Registration Form

Out-of-School Time Leadership Institute

October 4, 2019
CT NonProfit Center
Hartford, CT 

Registration Deadline: October 3, 2019

Workshop registration fee includes:  Attendance at workshop (pre registration is required).

Please fill in all required fields.  Providing your address helps us pinpoint information that is directly related to your community.  We do not sell or provide your information to any group without your permission.  Please see our privacy policy.

First Name:*
Last Name:*
Organization Name:*
Address Type:*
Zip/Postal Code:*
Work Phone:*
Registration Type:*
Please invoice me:
I would like to pay with credit card:


  • Forms of Payment – We accept check/money order, purchase order and credit card via the online registration process.
  • Payment by Check – Make check payable to Connecticut After School Network, and send payment with registration confirmation form to Connecticut After School Network, 12 Melrose Avenue, Branford, CT 06405

Delay, Cancellation & Refund Policy

  • Due to inclement weather (snow, ice, flooding, etc.) or other emergencies, events may be delayed or canceled.  Participants are responsible to check the CT After School Network website or Facebook Page for delay or cancellation notices.
  • Refunds will be granted to registrants who cancel their registration by email at no later than October 3, 2019.
  • Refunds will not be provided to registrants who neither cancel nor attend the event.  Confirmed registrants who are unable to attend the event may send a substitute in their place at no additional cost.  Substitution information must be received by the CT After School Network no less than two business days before start of the event.

Have a question? Give us a call at 203-483-1846 or email us at