Final 23rd Annual Play Therapy Conference Registration Form

23rd Annual Play Therapy Conference Registration Form

Buffalo, New York
Name*

First NameLast Name
Email*
example@example.com: HANDOUTS ARE POSTED FOR DOWNLOADING ON THE NYAPT WEBSITE CONFERENCE PAGE
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Degree/License/Credentials/RPT designation
Play Therapy Competencies in the Supervision Relationship (2 CE)

Ann Beckley-Forest, LCSW, RPT-S

Check the Play Therapy Supervision box on the order form below if you want to attend this workshop. Appropiriate for RPT-S or those pursuing the S designation.
Select Day(s) You Are Registering For:*
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Contact Info:

Camille Arth Boccio, LCSW, NYAPT Treasurer
105 Tindle Ave West Seneca, NY 14224
Phone: (513) 550 - 2990
Email: playtherapyfun123@gmail.com
CANCELLATION POLICY: Refunds will be made ONLY if
requested up to 15 days prior to conference and will be subject to
an administrative fee of $40. NYAPT, Inc. reserves the right to
cancel the conference in the event of rare, unforeseen
circumstances. In the event of cancellation, registrants will be
notified and will receive a full refund of registration fees only.. In
all instances, the liability of NYAPT, Inc. is limited to the refund of
registration fees only.

23rd Annual Play Therapy Conference Registration Form