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Ce Eshelman — Advanced Stop Yelling 201 — Aug 3, 2022
Presented by Ce Eshelman, LMFT
1.
I would like to register for:
Advanced Stop Yelling 201
Wednesday, August 3, 2022
—
2:45 - 5:00PM
2.
Name:
First:
Last:
3.
Mailing Address:
Street or P.O. Box:
City:
State:
Zip Code:
4.
Affiliation:
Adoptive Parent
Foster Parent / Kinship Care
Parent
Social Services Professional
Family Resource Center
Health Care Professional / Administration
Mental / Behavioral Health Professional
Public Health Professional / Administration
Teacher - Preschool
Teacher - Elementary School
College Faculty / Administration
Law Enforcement
Tribal Program
Student
County Supervisor
County Administration
Other (please specify)
5.
Phone Number:
6.
E-mail Address:
7.
Please confirm email address:
8.
Would you like to receive, by e-mail, information about future trainings in our county?
Yes
No
9.
Would you like a Certificate emailed to you to show your completion of participation in this training?
Yes
No
