Registration Fall Prevention Professional Conference- October 14-16, 2025

First Name

Last Name

Email

Confirm Email

This email will be used for each individual to sign into Zoom workshop(s).

State or Territory (you are currently working in)

What would you like to register for?

I'll register early for all workshops *
I'll register for all workshops
I'll register for individual workshops

* Payment for early registration received before September 15th, 2025

Individual Workshop Registration- Please select from the following:

Payment Options

Credit Card
Agency Check for early registration (received before September 15, 2025)
Agency Check (received before October 9, 2025)
Presenter

Presenter Code

Do you need an invoice?

Yes
No

Invoice Information

Agency Name, Address, City, State, Zip

Total

$0.00

Stripe Credit Card

Card

Name on Card

I agree to participate fully during this webinar with my camera on.

Yes

This live Zoom webinar is an instructor led, participant centered learning experience therefore you are expected to join on camera and be fully engaged in the training. Just "listening in" via phone or while driving are not acceptable means of participation to be eligible to receive a Continuing Education Hours (CEH) .

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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