CISM TRAINING REGISTRATION FORM PAGE | Ribbon Of Hope

CISM TRAINING SESSIONS

SELECT WHICH CISM TRAINING SESSION YOU WOULD LIKE TO REGISTER FOR AND THEN SELECT THE QUANTITY OF HOW MANY PARTICIPANTS YOU ARE REGISTERING FOR THE COORDINATING SESSION DATE. If you are wanting to register more than 5 participants for a training session date, please reach out to the instructor, Loretta McGuire at [email protected] to inquire about private training sessions for your group or team of 5 or more participants.

CISM TRAINING SESSIONS

ASSISTING INDIVIDUALS IN CRISIS - JUNE 25-26

GROUP CRISIS INTERVENTION - JULY 9-10

ASSISTING INDIVIDUALS IN CRISIS - JULY 16-17

GROUP CRISIS INTERVENTION - AUGUST 13-14

NUMBER OF PARTICIPANTS(Required)

Please enter a number less than or equal to 5.

ASSISTING INDIVIDUALS IN CRISIS - JULY 16-17

Price:

12 AVAILABLE

NUMBER OF PARTICIPANTS(Required)

Please enter a number less than or equal to 5.

GROUP CRISIS INTERVENTION - JULY 9-10

Price:

12 AVAILABLE

NUMBER OF PARTICIPANTS(Required)

Please enter a number less than or equal to 5.

GROUP CRISIS INTERVENTION - AUGUST 13-14

Price:

12 AVAILABLE

SESSION CLOSED!

ASSISTING INDIVIDUALS IN CRISIS ON JUNE 25-26 IS NOW CLOSED. PLEASE SELECT A DIFFERENT TRAINING SESSION DATE.

PARTICIPANT INFO

PARTICIPANT NAME(Required)

First Last

PARTICIPANT EMAIL(Required)

Enter Email Confirm Email

PARTICIPANT PHONE(Required)

PARTICIPANT ADDRESS(Required)

Street Address Address Line 2 City State ZIP Code

PARTICIPANT PLACE OF WORK(Required)

PARTICIPANT JOB TITLE(Required)

HOW DID YOU HEAR ABOUT THESE CISM TRAININGS?(Required)

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PARTICIPANT 2

PARTICIPANT 2 - NAME(Required)

First Last

PARTICIPANT 2 - EMAIL(Required)

Enter Email Confirm Email

PARTICIPANT 2 - PHONE(Required)

PARTICIPANT 2 - ADDRESS(Required)

Street Address Address Line 2 City State ZIP Code

PARTICIPANT 2 - PLACE OF WORK(Required)

PARTICIPANT 2 - JOB TITLE(Required)

PARTICIPANT 3

PARTICIPANT 3 - NAME(Required)

First Last

PARTICIPANT 3 - EMAIL(Required)

Enter Email Confirm Email

PARTICIPANT 3 - PHONE(Required)

PARTICIPANT 3 - ADDRESS(Required)

Street Address Address Line 2 City State ZIP Code

PARTICIPANT 3 - PLACE OF WORK(Required)

PARTICIPANT 3 - JOB TITLE(Required)

PARTICIPANT 4

PARTICIPANT 4 - NAME(Required)

First Last

PARTICIPANT 4 - EMAIL(Required)

Enter Email Confirm Email

PARTICIPANT 4 - PHONE(Required)

PARTICIPANT 4 - ADDRESS(Required)

Street Address Address Line 2 City State ZIP Code

PARTICIPANT 4 - PLACE OF WORK(Required)

PARTICIPANT 4 - JOB TITLE(Required)

PARTICIPANT 5

PARTICIPANT 5 - NAME(Required)

First Last

PARTICIPANT 5 - EMAIL(Required)

Enter Email Confirm Email

PARTICIPANT 5 - PHONE(Required)

PARTICIPANT 5 - ADDRESS(Required)

Street Address Address Line 2 City State ZIP Code

PARTICIPANT 5 - PLACE OF WORK(Required)

PARTICIPANT 5 - JOB TITLE(Required)

PAYMENT & AGREEMENTS

PAYMENT METHOD(Required)

CREDIT/DEBIT CARD

MAIL IN CHECK

PAY BY CHECK AGREEMENT(Required)

By choosing to pay by check, I agree and understand that if my check has not been received by Ribbon of Hope TWO DAYS PRIOR to the first day of my selected CISM training date that I will lose my spot and will not receive a refund.

I AGREE

REFUND POLICY AGREEMENT(Required)

I agree and understand that the $250 registration fee is non-refundable. However, I agree and understand I am able to reschedule, but I must do so by contacting the instructor 24 hours prior to my original registered training date. By doing so, I may apply my $250 registration fee to a future training session date held with the same instructor within 12 months of the original registered training date.

I AGREE

DO YOU NEED A P.O. SENT TO YOU?(Required)

YES

NO

TOTAL

PAYMENT(Required)

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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