Full Connect facilitator training workshop registration

Connect Facilitator Training Workshop registration
Please complete the form below to sign up for the Connect facilitator training workshop.

IMPORTANT NOTE: if you are with a public-funded agency in BC, Canada, note that this registration page is for the upcoming PAID open workshop, and NOT the FREE workshops that you could attend hosted by Maples Adolescent Treatment Centre. Info about the free workshops can be found here.

For this paid workshop, you may qualify for a discounted registration fee if you want to register for more than 4 staff from your agency, OR are interested in and qualify for an ongoing collaborative research project. If any of these apply to you, please email us at connectattachmentprograms@gmail.com to inquire more before proceeding with registration and payment.
Your name (Name of the registrant if you are signing up for someone else)*

First NameLast Name
Your email (Email of the registrant if you are signing up for someone else)*
example@example.com
Name of the agency/organization that you work for
Where should we mail the Connect treatment manual to?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

I understand that I can ONLY run Connect parenting groups with ANOTHER Connect trained or certified facilitator. I understand that I CANNOT run a Connect group on my own or with an untrained practitioner under any circumstances.*

Yes, I understand and agree to comply with these terms.
I understand that after the workshop, I am REQUIRED to complete SUPERVISION over the course of one (or more) Connect groups with a CONNECT CERTIFIED SUPERVISOR in order to be certified as a Connect facilitator. I understand that I can ONLY facilitate Connect groups without supervision AFTER I have achieved certification.*

Yes, I understand and agree to comply with these terms.

To run a Connect group and receive certification, you would need a partner who is Connect trained or certified. Will a colleague of yours also sign up for this workshop?*

Yes, a collegue of mine will also enroll in this upcoming workshopNo, I know of people who have already completed a Connect workshop or have received Connect certificationNo, my colleague plans to attend a future Connect workshopNo, I don't yet have a co-facilitator candidate in mind but I would still like to participate in this workshop
What's the full name of this colleague of yours?
Please select your registration type below based on the shipping address you provided.*
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Connect Facilitator Training Workshop registrationIncluding workshop registration for one person, one Connect treatment manual and shipping
$900CAD

Total

$0.00CAD
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Connect Facilitator Training Workshop registration