Professional Development Workshop Registration Form

Professional Development Network

Spring 2022 Workshop Registration
The cost is $60 for one half day workshop. If registering for two half day workshops, the cost is $55 each.

*Special Offer: $150 for all 3 workshops ($50 each) - You must register & pay in advance (no exceptions).

Cancellation Policy: No refunds will be possible after a workshop is completed.

Registration Fee includes the workshop, CEU certificate and handouts.
Please check all that apply:*

Workshop 1 (2/17/22) Erin Dugan - Shifting Through Today's Global ChangesWorkshop 2 (3/24/22) Allison Durant - Grief & Loss: The Impact of Loss on Mind, Body & SoulWorkshop 3 (4/7/22) Mark Skellie - Ethics in Practice: Managing Boundaries Within the Therapeutic Relationship
Full Name*

First NameLast Name
Professional Affillation*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Workshop Charges*
prevnext( X )
1-workshop$60.00

2-workshops$110.00

3-workshops (Special Offer)$150.00

Total $0.00
Should be Empty:

Professional Development Network