Registration Form - March 29, 2019 - Uncovering the Mighty Ray of Light Within the Person Who is Suicidal: Learning How to Connect With, Empower, and Instill Hope in Those Living With Suicidal Thoughts (Presenter: Renae Carapella-Johnson, NCC, LMHC) Location: Holiday Inn - Elmira Riverview, Elmira, NY


New York requires a license number on the continuing education certificate for the following disciplines. Please indicate if you hold any of the following NEW YORK state licenses/certifications: 


The registration fee is $123 per workshop.
The student rate is $113 (must email or fax a copy of a valid student ID to 607-962-8422).
Payment Method *
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


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