Colleague Training Referral
Club/Agency Name
Address
Contact Person
Phone #
Fax #
Email
Website
Has the Director been to training?
Is this the club/agencies first training?
Training Type
Group#
Dates of Training
Questions
If you are interested in attending a training session please fill out and submit the information below and you will hear back from us within 48 hours.
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Genesis Club, Inc.
274 Lincoln Street
Worcester, MA 01605
Tel. (508) 831-0100
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