Registration Form - September 22, 2017 - Engaging Adolescents: Inspired Play Therapy Techniques for Teens and Tweens (Presenter: Brijin Gardner, LSCSW, LCSW, RPT-S)

CONTACT INFORMATION

Please indicate if you hold any of the following NEW YORK state licenses (for CE certificate purposes): 

PAYMENT

The registration fee is $109 per workshop.
The student rate is $95 (must fax a copy of a valid student ID to 607-962-8422).
Payment Method *
 
PAYMENT
If you will be paying by credit card, you will be directed to Paypal where you may enter your credit card information. Please Note: You DO NOT need a Paypal account in order to pay by credit card. You may also call us directly at 607-962-3148 to provide your credit card information

Confirmation/Questions

A confirmation/reminder email will be sent to you approximately 7-14 days
before the selected workshop date.
 
If paying by check, please send it to us at:
 
Family Service Society
280 Princeton Ave. Ext.
Corning, NY 14830
 
Questions? Please call us at 607-962-3148 or email Janalee Orfanides at janalee@stny.rr.com.