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Name*

Email Address*

Phone*

License Status *

If you are enrolled as a full-time student, please provide your student email address for registration to allow programmatic staff to provide a form for verification and completion.

Student (Bachelor, Master or Doctoral Level)Professional (Provisional or Fully Licensed Professional)Licensed Clinical Social WorkLicensed Marriage & Family TherapistLicensed Professional Counselor

I understand by registering to attend this training, I am agreeing to the following:

Please read carefully in full before proceeding with registration. The agency will purchase items, materials for workshops in advance, that will incur an expense, and will be considered for cancellation.

1) I agree to arrive in a timely manner and attend the training in its entirety in order to receive full continuing education credit.2) I agree that Wilson's Garden of Hope, LLC reserves the right to cancel a workshop due to insufficient enrollment. Wilson's Garden of Hope, LLC will email workshop participants at least 7 calendar days in advance of the scheduled workshop date to notify students of the cancellation. An email will be provided to participants advising of the the option to reschedule for a future course date or to receive a full refund of paid workshop fees.3) All sales for scheduled workshops are FINAL, unless Wilson's Garden of Hope, LLC cancels the training, or if the participant provides at least a 10 business day notice. Participant will be assessed a $25 cancellation fee per day of registration, based on agency administrative fees, if cancellation fee is provided in less than 10 business days, a $40 administrative fee will be assessed per day of registration.4) Training inquiries and questions will need to be sent to [email protected] for further details.

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