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Training Registration

Contact Information Required fields in bold.

Title

First name

Last name

Address

City

State or Province

Postal Code

Phone

Organization

Web site

Contact Safety

If you are in an abusive relationship, we do not want to send information to you by any means that is not safe. All registrants must select “yes” or “no” below for each means of communication. Thank you for your cooperation.

Safe to email
No Yes

Safe to mail
No Yes

Safe to phone
No Yes

Registration details

Registration Type

Full attendee $45

Student $30
(Full time post-secondary student.)

Payment Methods

Pay online (Credit, Debit, or Paypal)

By mail (Check or Money Order)

Inquire about scholarships (Award of a scholarship is based in part on availability of funds)

Donations

A limited number of scholarships, based on funding, are provided for attendees who may not be able to afford the full price of the training. Please consider contributing an additional amount to the training to help cover these costs. Thank you!

Donation
Enter a whole dollar amount, please.
$

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