Training Registration
Please use this form to register for a training. Please note, payment for a class is due at the time of the training and we currently only accept cash or money order. No personal checks!
Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
E-mail
*
Please check which Article 9 class you would like to register for, if any. (Required by the State for all Therapists and Providers once every three years)
Article 9 - $30 - Monday 9/24/18 at the Gilbert Clinic 5:00 pm - 8:00 pm
Article 9 - $30 - Thursday 9/27/18 at the Gilbert Clinic 8:30 am - 12:00 pm
Article 9 - $30 - Monday 10/02/18 at the Gilbert Clinic 5:00 pm - 8:00 pm
Article 9 - $30 - Thursday 10/11/18 at the Gilbert Clinic 8:30 am - 12:00 pm
Article 9 - $30 - Monday 10/15/18 at the Gilbert Clinic 5:00 pm - 8:00 pm
Article 9 - $30 - Thursday 10/18/18 at the Gilbert Clinic 8:30 am - 12:00 pm
Article 9 - $30 - Monday 10/22/18 at the Gilbert Clinic 5:00 pm - 8:00 pm
Article 9 - $30 - Thursday 10/25/18 at the Gilbert Clinic 8:30 am - 12:00 pm
Please check which CPR/First Aid class you would like to register for, if any. (Required by the State for all Therapists and Providers once every two years)
CPR and First Aid - $40 - Wednesday 9/26/18 at the Gilbert Clinic 9:00 am - 12:00 pm
CPR and First Aid - $40 - Wednesday 10/03/18 at the Gilbert Clinic 9:00 am - 12:00 pm
CPR and First Aid - $40 - Wednesday 10/10/18 at the Gilbert Clinic 9:00 am - 12:00 pm
CPR and First Aid - $40 - Wednesday 10/17/18 at the Gilbert Clinic 9:00 am - 12:00 pm
CPR and First Aid - $40 - Wednesday 10/24/18 at the Gilbert Clinic 9:00 am - 12:00 pm
CPR and First Aid - $40 - Wednesday 10/31/18 at the Gilbert Clinic 9:00 am - 12:00 pm
Please check which Level 1 ABA/Habilitation class you would like to register for, if any. (Required by the State for all Providers doing Habilitation)
ABA - $25 - Thursday, 09/27/18 at the Gilbert Clinic 12:30 pm - 3:30 pm
ABA - $25 - Thursday, 10/04/18 at the Gilbert Clinic 12:30 pm - 3:30 pm
ABA - $25 - Thursday, 10/11/18 at the Gilbert Clinic 12:30 pm - 3:30 pm
ABA - $25 - Thursday, 10/18/18 at the Gilbert Clinic 12:30 pm - 3:30 pm
ABA - $25 - Thursday, 10/25/18 at the Gilbert Clinic 12:30 pm - 3:30 pm
ABA - $25 - Thursday, 11/01/18 at the Gilbert Clinic 12:30 pm - 3:30 pm
Please check which Level 2 ABA/Habilitation class you would like to register for, if any.
ABA - $25 - Thursday, 11/08/18 at the Gilbert Clinic 12:30 pm - 3:30 pm
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