May 6-7, 2024 - Introduction to Motivational Interviewing This is a two-day training. Please fill out this registration form to get registered. Your registration will not be complete until payment has been received. Cost: $375 per personTraining Venue:The Pace Center of Morrow5894 Jonesboro RoadMorrow, GA 302609 am - 3:30 pm dailyIf registering more than one person, a separate form needs to be complete for each registrant. Question Title * Attendee's contact info: First Name * Last Name * Job title/role * Organization * City/Town * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Country Email Address * Phone Number * Question Title * What are your plans for applying what you learn in this training? Question Title * What population are you planning to serve with this program? youth adults both Question Title * How did you find out about this training? web search word of mouth email from The Pace Institute Other (please specify) Question Title * Do you have a disability that requires an accommodation during the training? Yes No Question Title * If you indicated yes above, please explain accommodations required. Question Title * Please acknowledge that you have read and that you understand the following Payment, Cancellation, and Refund Policy. Payments. The cost of this training course is $375.00. Enrollment is not complete or reserved without payment.Early Cancellations. You may cancel an individual registration and receive a full refund, less a $50 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: firstname.lastname@example.org. 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 Question Title * Please acknowledge that you understand that a certificate of completion will only be provided if you attend the entire training. I acknowledge Click to proceed to pay.