Clone of 2025 Ainsworth ELC Conference Registration

Ainsworth Early Childhood Conference Registration

Fill out the form carefully in order to register for the Ainsworth Early Childhood Conference.
February 7, 2026

Time: 8:00 am-3:15 pm

Location: Ainsworth High School, 520 E 2nd St, Ainsworth, NE 69210

Agenda:

·      7:30-8:00 Welcome (rolls and coffee)

·      8:00-11:15 Family Engagement-Jackie Steffen (15-minute break)

·      Lunch 11:15-12:00 (Taco Bar)

·      12:00-3:10 Challenging Behaviors-Hayley Jackson (15-minute break)

·      3:10-3:15 wrap up and certificates
Participant Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Email*
example@example.com
Please verify Email*
example@example.com
Please select your County*
Please add your Community*
What City do you live in?
What is your gender?*

FemaleMaleNon-BinaryPrefer not to respondUnknown
What category best describes your age?*

5-17 years old18-29 years old30-59 years old60-75 years old76 years or olderPrefer not to respondUnknown
What category best describes your ethnicity?*

Hispanic/LatinoNon-Hispanic/LatinoPrefer not to respondUnknown
What category best describes your race?*

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian/Other Pacific IslanderWhitePrefer not to respondUnknown
What ages of children do you provide care for?*

0-15 months (Infant)16 months-30 months (Toddler)31 months-5 years (Preschool)5-6 years (Kindergarten)6 years and older (School age)Other: Please specify
What type of agency do you work in?*

Family Child CareChild Care CenterHead Start/Early Head StartPublic School/ESUState,County, Federal GovernmentOther: Please specify
Enter the number of children in your care, approximately?*
Do you serve children from military families?*

YesNo
Does your program accept childcare subsidy?*

YesNo
Please note this registration is non-refundable.
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Ainsworth Early Childhood ConferenceJoin us for the Ainsworth Early Childhood Conference on Saturday, February 7, 2026. The day will begin at 8:00 am and conclude at 3:15 pm. Participants will receive 6 professional development hours.
$30.00 Quantity
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Ainsworth Early Childhood Conference Registration