Registration CPS Preparation Course December 10, 2024

This virtual training will be live over Zoom. Participants are expected to join on camera and be fully engaged in the training. *

Yes, I agree to have my camera on and participate fully.
No

"Listening in" via phone or while driving are not acceptable means of participation to be eligible to receive a Continuing Education (CE) certificate.

First Name *

Last Name *

Email *

Email

Confirm Email

This email will be used for you to sign into the Zoom workshop.

State or Territory (you are currently working in) *

Payment Options *

Credit Card - $130.00
Agency Check (received on or before April 5, 2024) - $125.00
Scholarship - $125.00

Scholarship Number *

Stripe Credit Card *

Card

Name on Card

Do you need an invoice?

Yes
No

You will automatically receive a receipt for credit card payment via email once you complete your registration.

Invoice Information (Agency Name, Address, City, State, Zip)

Total

$0.00

I agree to the terms for substitution, cancellation and refunds. *

Yes

We are happy to work with you for any substitutions. Cancellations and substitutions for registrations must be in writing and emailed to register@preventiontrainingservices.com at least 5 days before the event begins. Cancellations will incur a $25 administrative fee plus any credit card processing fees. More detailed information can be found at https://preventiontrainingservices.com/wp/terms (link below)

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