Enrollment Form for:
Adolescent Focused Motivational Interviewing Workshop
DoubleTree by Hilton River Front, Bay City - Wheeler Room
1 Wenonah Park Place 
Bay City, MI 48708
Saturday, September 15th (2:00pm - 5:00 pm)

* 1. Please take note - you must complete a short series of online modules (est. time to complete: 4-5 hours) by Friday, September 7th, 2018.

The online modules are REQUIRED.

You must completed these modules BEFORE the live workshop event as they contain necessary background preparation.

Please acknowledge this requirement below.

*When we receive your completed registration form, we will send the link for the online training to the email address that you provide below within 1 business day.*

* 2. Carefully enter your email address.
*This is how we will contact you with required information, updates and the pre-training online module link:

* 3. Enter your full name and credentials as you would like them to appear on your name badge.

Please double check that your email is entered correctly above so we may provide a confirmation, other necessary updates and required information.
Thank you for registering for the Adolescent Focused Motivational Interviewing Workshop: Bay City, MI - Saturday, September 15, 2018.