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REGISTRATION FORM
PSYCHODRAMA TRAINING 2011-2012
Name
Address
City
State Zip
Phone: ( ) (O)
( ) (H)
( ) (C)
Email:_____________________________________________
Amt. Enclosed: $
Make checks payable to : Psychodrama Training and send to Antonina Garcia/14 Harbor Court/Monroe Township, NJ 08831.
Please check all programs you wish to attend.
FL. CEU’s available for an additional fee. Please inquire.
NJ SCHEDULE Saturday, July 23 Remembering and Forgiving Fee: $95 I am interested in future programs. July 9 - 15, 2011 *Deposit refundable until April 8, 2011. Cancellation after April 8 will be refunded minus $50 cancellation fee. No refunds after May 8, 2011. |
FL SCHEDULE
FALL: Remembering - TampaFee: $80 Remembering - Miami Fee: $80 Miami Ongoing
Training |