Santa Fe Coordinated Community Response Council

Coordinated Community Response Council

Children Youth and Families Department (CYFD): 800-797-3260

Esperanza Shelter for Battered Families: 800-473-5220

Santa Fe Rape Crisis & Trauma Treatment Center: 800-721-7273

Registration for 2008 Faith Summit on Domestic and Sexual Violence

Title:

First:

Last:

Organization/Community:

Position:

Address:

City:

State:

Zip:

Phone:

Mobile Phone:

Email:

Including you, how many people are included in this registration?

We encourage each faith community to bring a group of members, including clergy/leaders, staff, laypeople, and members to attend .

Registration Fee Waiver:

A registration fee waiver ($25) will be given to anyone who asks. Please let us know if you need a fee waiver.

The names of the others included in this registration:

Already a CCRC member?

Would you like to be on the CCRC mailing list?

Would you like to participate in the Faith Response Workgroup?

A Program of Esperanza Shelter for Battered Families
P.O. Box 5701 • Santa Fe, NM 87502
David River, Co-Facilitator: david@santafe-ccrc.org or (505) 216-9752
This project was supported by Grant No. 2006-WF-AX-0015 awarded by the Office on Violence Against Women, U.S. Dept. of Justice. The opinions, findings, conclusions, and recommendations expressed in this website are those of the author(s) and do not necessarily reflect the view of the Dept. of Justice, Office on Violence Against Women.