Register Please complete the form below. Please note, registration is not complete until we receive payment. Name * First Name Last Name Email * Phone * (###) ### #### How will you attend? * In-person Livestream Virtual Recorded (if offered) Are you an employee at Restore? Yes No If yes, will you be using your free CEUs for this course? Yes No What is the name of your practice or organization? * What category does your organization fall into? * Agency Private practice (solo) Private practice (group) Hospital or medical Church or parachurch ministry Educational Non-profit other than counseling How did you hear about this training? If you found it through social media, which platform or group? Have you ever attended a training at The Center or Restore Behavioral Health? This is my first! I can't get enough! See you at The Center!
