October 23-27, 2023 Thinking for a Change Facilitator's Training

Thank you for your interest in attending the October 23-27, 2023 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.

Question Title

* 1. Attendee's contact info:

First Name *

Last Name *

Job title/role *

Organization *

City/Town *

State/Province *

Country

Email Address *

Phone Number *

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?

youth

adults

both

Question Title

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

web search

word of mouth

email from The Pace Institute

Other (please specify)

Question Title

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

Yes

Question Title

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

Question Title

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

I acknowledge

Question Title

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

I acknowledge