Miriam O. Smith Educational Series Registration

Ways to Bolster Resilience in Children and Adults

Register by March 14: $99, $89 for 2 or more from one agency, March 10-19: $119, at the door: $129

First Name:
Last Name:
Email:
	(confirmation will be sent via email only)
Daytime Phone:	- -
Cell Phone:	- -
Address1:
Address2:
City:	State: Zip:
Place of Employment/Company Name:
	($89 Group Rate for 2 or more from one agency)
Eligible for agency group rate:
Professional Credit Registration (select up to 2)
Social Work CEU (Reciprocal for Nursing CEU)
Counseling CEU
Marriage and Family Therapy CEU
Psychology OPA-MCE
Teacher Contact Hours
Certificate of Completion
Chemical Dependency RCH
Life Coaching CCE
Rehabilitation Counseling CRCC


Lunch Choices
Turkey Artichoke Sandwich
Tuna Salad Wrap
Veggie Hummus Wrap
Caesar Salad with Chicken
Kosher meal (call for choices)

No professional credit registrations selected.

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