COMMITTEE ON CHILDREN AND THE LAW

Presents

Terminating Parental Rights: Is The Net Too Wide?

FRIDAY, JANUARY 30, 2004

9:00 a.m.—12:10 p.m.

Majestic/Music Box Room (6^th Floor)

NEW YORK MARRIOTT MARQUIS

NEW YORK CITY

WAIVER OF REGISTRATION FEE

Members of the Appellate Division Law Guardian Panels are eligible for a waiver of the registration fee for this program. If you qualify for this waiver, you cannot register on line. Please fill out this waiver form and attach it to the completed 2004 Annual Meeting registration form. Fax or mail both forms to the number/address listed on the registration form. Additionally, a limited number of waivers are available on a first/come first serve basis for assigned counsel for adult Family Court or Family Court appeals who are not currently on a law guardian panel. If you qualify and wish to inquire about these waivers, please call Michele Harbour before Monday, January 19, 2004 at (518) 487-5591.

I hereby certify that I meet the above requirements for the waiver of the registration fee for the Annual Meeting Program of the Committee on Children and the Law.

I am on the ________________________ Family Court panel in ______________________County.

(Insert LG or AC) (Insert Name of County)

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Signature

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Full Name (please print)

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Place of Employment

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Address

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Phone Number and Fax Number

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