Training - Annual Parent Retreat 2022

Training - Annual Parent Retreat 2022

We request that for the one-day retreat training that there be a MINIMUM of 2 people (including at least one parent and professional working together OR two parents). As part of the training, it is REQUIRED that you attend the full parent retreat.
FIRST Person's Name*

First NameLast Name
I am a:*

ParentProfessionalBoth - Parent&Professional
Profession & Agency affiliated with (if applicable):
SECOND Person's Name*

First NameLast Name
I am a:*

ParentProfessionalBoth - Parent/Professional
Profession & Agency affiliated with (if applicable):
Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Phone Number*

Area CodePhone Number
Contact E-mail*
What do you hope to achieve from attending this training:
By submitting this application, I understand that the fee for the retreat training and retreat weekend is $1250. USD per person ($2500. USD per team).

This fee includes: (1) A two-night stay at the beautiful and secluded Whispering Pines Conference Center (https://web.uri.edu/wpinescc/) which including all meals from Friday morning through lunch Sunday afternoon. (2) Full day retreat training on Friday including all materials in a binder with everything you need to plan and run a retreat, AND (3) Participation in all retreat activities from Saturday morning through after lunch on Sunday.
Payment can be made in the form of check or Paypal/credit card. Please note that you do not need a Paypal account if you chose to pay via credit card.*

I will mail in a checkI will pay via Paypal/credit card
Directions for Paying by Check:

If you pay via check, please make it payable to "Community Autism Resources" and mail it to: Community Autism Resources, Attn: Barbara Domingue, 33 James Reynolds Road, Unit C, Swansea, MA 02777.
To pay using Paypal or a credit card, please pay here.
prevnext( X )
Registration Fee (Team)$2,500.00

Total $0.00
loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
Should be Empty:

Training - Annual Parent Retreat 2022

By submitting this application, I understand that the fee for the retreat training and retreat weekend is $1250. USD per person ($2500. USD per team).

Directions for Paying by Check: