Annual Retreat – Participant Registration Please enable JavaScript in your browser to complete this form.PLEASE NOTE: To purchase multiple singular classes, please make separate purchases.Participant Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Share My Information *It's okay to share my information with vendors.Do not share my information with vendors.Sign-up to our newsletter?Retreat Fees (PLEASE NOTE: To purchase multiple singular classes, please make separate purchases.)Full Retreat- All 3 Days - $ 150.00Friday April 30th - $ 60.00Saturday May 1st - $ 60.00Sunday May 2nd - $ 55.00Supervision Ethics - $ 30.00We’re All Grief Counselors Now: Emerging Challenges In Grief Work - $ 20.00Treating 1st Responders - $ 20.00Addressing Ethical Issues Of Intimacy Within The Therapeutic Environment - $ 30.00Diversity Discussion Panel - $ 20.00Trauma - $ 20.00Eating Disorders - $ 20.00Dialectical Behavioral Therapy - $ 20.00Total$ 0.00Payment OptionsCheckPaypalCredit CardStripe Credit CardCardName on CardMail checks payable to: ArMHCA, Care-of Wendy Blackwood 1422 Caldwell Street Box 10 Conway, AR 72034MessageSubmit
