Please add me to the Waiting List for this course.
I understand that I will be contacted by phone and/or email if a space becomes available in the course.

    Name of Course*:

    Location of Course*:

    Date of Course*:
    Enter date in yyyy-mm-dd format

    Your Name*:

    Email Address*:

    Name of facility where you work:

    Daytime Phone Number:

    Interested in hosting this course?

    Cell Phone/Home Phone Number:


    Do you want to host a Course at your facility?

    • Course programs can be customized to meet your needs.
    • Various course formats available: Live (on-site), webinars, online and hybrid options (in person teaching and online self-study lessons support each other).
    • One day or two day workshops can be set-up for weekdays or weekends.
    • Course programs can be set-up for attendance by your staff only, or they can be open for enrollment by therapists in the community.