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Attendee Name
*
First
Last
Attendee Email
*
What is your professional degree?
*
Marriage and Family Therapy
Mental Health Counselor
Nursing (e.g., LPN, NP, RN)
Physician (e.g, DO, MD)
Psychologist (e.g., PhD, PsyD)
Social Work
Student
Other
If Other, please specify:
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ARE YOU INTERESTED IN CEU'S?
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Yes
No
Dietary requests? (i.e. Vegetarian, Vegan, Gluten Free, Dairy Free)
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We will do our best to accommodate dietary requests for lunch. Please feel free to bring your own snacks if you'd like!
Referred by: (If applicable)
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Note: The registration fee DOES NOT include the cost of 6 APA approved CEU's, which will be available for purchase at the event.
Submit
Upcoming Events
About Us
Group Directory
Submit A Group
Update A Group
Submit An Ad
Contact
Past Events
Scholarship
