July 8-12, 2024 Thinking for a Change Facilitator's Training
AT THE END OF THIS FORM YOU WILL BE ASKED TO SUBMIT YOUR ELECTRONIC PAYMENT. PLEASE BE PREPARED TO PAY.

Thank you for your interest in attending the June 10-14, 2024 Thinking for a Change Facilitator's Training. Please fill out this registration form to get registered. Your registration will not be complete until payment has been received. Please review the Thinking for a Change Fidelity Checklist and Payment, Refund, and Cancellation policy before registering.

Cost: $1,500

Training Venue:
The Pace Center of Morrow
5894 Jonesboro Road
Morrow, GA 30260
8 am - 3:30 pm daily

If registering more than one person, a separate form needs to be complete for each registrant.

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* 1. Attendee's contact info:

First Name *

Last Name *

Job title/role *

Organization *

City/Town *

State/Province *

Country

Email Address *

Phone Number *

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* 2. What are your plans for using the Thinking for a Change group program after the training?

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* 3. What population are you planning to serve with this program?

youth

adults

both

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* 4. How did you find out about this training?

web search

word of mouth

email from The Pace Institute

Other (please specify)

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* 5. Do you have a disability that requires an accommodation during the training?

Yes

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* 6. If you indicated yes above, please explain accommodations required.

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* 7. Please acknowledge that you have read and that you understand the following Payment, Cancellation, and Refund policy.

Payment, Cancellation and Refund Policy

Payments. The cost of this training course is $1,500.00. Enrollment is not complete or reserved without payment.

Early Cancellations. You may cancel an individual registration and receive a full refund, less a $75 processing charge, provided you cancel at least 14 calendar days in advance of the start date of the training. To cancel your enrollment, you must contact: adash@thepaceinstitute.com. Refunds will be issued to the payor of record.

Late cancellations. If you cancel fewer than 14 calendar days before the class, you must, within 12 months, register for and attend another class; otherwise all payments are forfeited to The Pace Institute.

No shows. There is a non-refundable no show-fee. In the case of a no-show, the course fee will not be refunded.

Incomplete course completions. There is a non-refundable fee for incomplete course completions. In the case that you begin this course and do not complete it, the course fee will not be refunded.

The Pace Institute reserves the right to cancel any scheduled class at our discretion. If The Pace Institute cancels, any payment received will be refunded in full.

I acknowledge

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* 8. Please acknowledge that you understand that a certificate of completion will only be provided if you attend the entire training.

I acknowledge

July 8-12, 2024 Thinking for a Change Facilitator's Training AT THE END OF THIS FORM YOU WILL BE ASKED TO SUBMIT YOUR ELECTRONIC PAYMENT. PLEASE BE PREPARED TO PAY.

Question Title

* 1. Attendee's contact info:

Question Title

* 2. What are your plans for using the Thinking for a Change group program after the training?

Question Title

* 3. What population are you planning to serve with this program?

Question Title

* 4. How did you find out about this training?

Question Title

* 5. Do you have a disability that requires an accommodation during the training?

Question Title

* 6. If you indicated yes above, please explain accommodations required.

Question Title

Question Title

* 8. Please acknowledge that you understand that a certificate of completion will only be provided if you attend the entire training.

July 8-12, 2024 Thinking for a Change Facilitator's Training
AT THE END OF THIS FORM YOU WILL BE ASKED TO SUBMIT YOUR ELECTRONIC PAYMENT. PLEASE BE PREPARED TO PAY.