Training Registration

Home

Certified Traumatologist or
Traumatic Incident Reduction Workshop
 

Please provide the following contact information:

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Please tell us which workshops you are interested in::

 
Choose DESCRIPTION
   T.I.R. Workshop -         $360.00

(earlybird fee)

T.I.R. Workshop -    regular fee            $ 395.00
T.I.R. Workshop - Student rate             $345.00
   T,I,R. Returning Student                       $200.00
Let me know about these trainings
T -1001 Field Traumatology  
T -1002 Current Applications in PTSD 
T-1003 Children and Family Systems    
Register me for all 4        (I save 10%)
Traumatology 1001 thru 1004      

 

Card number
  BILLING
Payment
PayPay name

What are the dates of the workshop(s) you are registering for?



Please call or e-mail me. I have more questions.


Continuing Education Credits: Participants will be provided with a certificate of Completion . NASW and American Psychological Association have approved this training and accepted this certificate for use in securing CE credits.
Traumatology Certification is co-sponsored by The Academy of Traumatology and Trauma Relief Services of the Northwest (TRSN).
Registration Refund Policy. Requests must be in writing. Refunds will be given on requests postmarked no later than 15 days prior to the class registered. A $25.00 processing fee will be deducted after this date.

E-mail your registration by selecting the Submit button above or

Send registration form and payment to :
Trauma Relief Services of the Northwest                     Tel (503) 740-7074
Home
Last revised: May, 2007