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Register for a Professional Training (Marin County)
August 25, 2010 - 11:42pm — gfermin
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What Do Young Children REALLY Need (Free, in San Rafael)
What Do Young Children REALLY Need (Free, in Mill Valley)
Your Information
Name:
*
Home Address:
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Phone Number:
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Email Address:
*
School Information
Name of your school or agency:
Business phone for you:
Your position:
What age children you work with:
Infant - 3 years
3 - 5 years
School-age
Preteen/adolescence
Teen
More Information
How did you find out about this training?:
Have you participated in other trainings offered by Parents Place? :
Yes
No<
Which trainings?:
Would you like to be on our mailing list? If so, please opt in here and be sure we have your email address:
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No
Email Address:
If CEUs (for LCSW or MFT) are requested, please provide your license number:
Please check our website to confirm if CEUs or professional hours are given.
Payment options
Pay by Check:
Please mail check to: 600 Fifth Avenue, San Rafael, CA 94901
Pay by Phone:
Please call 415-491-7959
Pay by Credit Card Online:
Click here
to pay online (This link will open in a new window)
Please select check-box first before clicking on link.
Professional License Name and Number:
CEU Requested (MFT OR LCSW Only):
Yes
No