Question Title

* 1. What is your first and last name?

Question Title

* 2. What month/ year are you attending the Intensive?

Question Title

* 3. How did you hear about this training? (For example, facebook, newsletter, a class with Lisa, conference, colleague, etc...)

Question Title

* 4. What is the highest level of post-secondary education you have completed and from where? Please describe your degree. 

Question Title

* 5. How many years of experience do you have in the counseling field and specifically how many years of experience do you have in the play therapy field?

Question Title

* 6. Have you studied Synergetic Play Therapy® before? If so, what class and where? What other play therapy modalities have you studied?

Question Title

* 7. I understand that all of the information in this training is copyrighted and trademarked and I agree to not teach the content of this Intensive without permission from Lisa Dion and the Synergetic Play Therapy Institute.

Question Title

* 8. I understand that if I complete the 6-day Intensive Training or Online Introduction to Synergetic Play Therapy® training I can say that I have received “training in Synergetic Play Therapy®.”

Question Title

* 9. I understand that I cannot market myself as “Certified Synergetic Play Therapist” or a “Trained Synergetic Play Therapist.” The Certified Synergetic Play Therapy® title is only for those that have completed their certificate requirements and been certified.

Question Title

* 10. I understand that I am not able to supervise as an SPT Supervisor unless I am certified to do so.

T