Escape
SAFETY ALERT: Computer use can be monitored. It is impossible to completely clear the "footprints" showing where each patron has been. If you are in danger, please click the [ESCAPE] bar above to be immediately transferred to another site and return to our site from a safer computer (a computer in a safe location where someone abusive does not have direct or remote access).
Contact ACADV home
psa video shelters education about acadv newsletter events workshops members contact
1-800-269-4668 1401 West Capitol Suite 170, Little Rock, AR 72201

If you are in danger:
Call 911
Your local hotline or
U.S. hotline 800-799-SAFE (7233)

Teen Dating Abuse Helpline:
866-331-9474


 

Training Registration Cancellation Form

* denotes required fields
Workshop Topic*
Workshop Date* Location*
Individual/Program Name*
Address*
City, State, Zip*
Phone*
Fax
E-mail*
Attendees to be removed from registration:

Cancellations accepted no less than 24 hours prior to the workshop (for Member Programs-by the program director or designated staff person responsible for all registrations and cancellations). There is $20 charge for non-attendance without cancellation and for late arrivals. Cancellations accepted via voice message, email, phone, or fax. Exceptions may be made for the 24 hour cancellation notice at ACADV’s discretion. Registrations and cancellations are not valid unless you receive a registration or cancellation confirmation from ACADV.

Upon receipt of the registration cancellation form, a confirmation e-mail will be sent.
If you do not receive a confirmation, please contact ACADV.

   


 
© Copyright Arkansas Coalition Against Domestic Violence. All Rights Reserved
1401 West Capitol Ave, Suite 170, Little Rock, AR 72201
1-800-269-4668