Fall '24 DTILA/CTC Registration Form

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Contact Form* This field is required.First, let's get your contact information so that you can receive all the necessary information you will need for your classes! (Note: email AND phone number MUST be inputted to ensure you receive class information!)
First and last name
Email
Best phone number to contact you
Address
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Are you local to the DTILA, and are you interested in the option for hybrid classes?
I am local, and am interested in attending classes in person
I am local, and am interested in a hybrid option (includes in person and Zoom)
I am local, but I prefer Zoom only
I am not local
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What best describes you?If none of the options fit, please fill out the "other" box with the appropriate descriptor.
Mental Health Professional
Alternate Training (AT) Student
Graduate Student
Other
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License Number and Type of License(Ex: LMFT 12345. If you do not have a license number, please enter "n/a")
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What kind of CEs would you like these classes to serve?
Drama Therapy
MFT
APA
Other
I do not need CEs at this time
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Please check the boxes for the classes you are registering for!
The Art of Identity: Affirming Art Therapy for LGBTQ+ individuals - Sept. 29 and October 6; 12 pm to 3 pm (PST) + 1 TBA hour
Transforming Connections: Navigating Relationship Challenges through Narradrama - October 13 and 20, 9 am to 12 pm (PST)
Deconstructing and Reimagining Depression Through Narradrama - Oct. 25, Nov 1 and Nov. 8; 12 pm to 2 pm (PST)
Drama Therapy for Transformative Justice - December 1 and 8; 9:30 am to 12:30pm (PST)
Developmental Psychology - September 7, 8, 14, 15, 22, October 27, November 3, 10, 17, December 15, 21; 9 am to 12 pm (PST) except for December 21 is 9am to 1pm; Arranged Video Lab Hours (11)
Principles of Drama Therapy - September 21, 28, Oct.5, 12, 19, and 26, Nov. 2; 9:30am to 3:30 pm (PST)
Creative Drama - Nov. 9 and 16, Dec. 7, Dec 14 (plus additional TBA hours); 9:30 to 3:30 pm (PST)
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Downloading Your Financial Payment Form

To aid you in calculating your total payment and help us keep track of your payments, we have provided a form for you to fill out. Please follow ALL the steps listed below:

1. Click on one of the appropriate links below.

Financial Record Form for those Inside the USA

Financial Record Form for those Outside the USA

2. Click "File" in the upper left hand corner, then click "download" and "Microsoft Word (.docx)"

3. Open the document from your downloads and follow the instructions in the form, using the information provided in the "Calculating Your Total Payment" section to help you.

4. Send your completed form to RuthDTILA@gmail.com

If you have trouble following these steps to dowload the form, please skip this step of filling out the form. Finish and submit your registration form to the best of your ability, and then reach out to the DTILA Registrar for help by emailing: RuthDTILA@gmail.com

Calculating Your Total Payment

Listed below is the cost of each class by number of units. Please calculate your total payment by adding up each class you have registered. (To view the amount of units/hours for each class, please refer to the Fall Semester Page.)

Core Class (3 Units): $899

7 Hour Class (.5 Unit): $169

14 Hour Class (1 Unit): $328

If you need assistance calculating your total payment, please reach out to the DTILA Registrar by emailing: RuthDTILA@gmail.com

How to Pay Your Total Payment

Once you have calculated your total payment, you are now ready to pay for your classes! Please choose one of the listed options below to pay for your classes:

Option 1 - Venmo

Send your total payment for your classes to Pam Dunne, @pam-dunne. Please write in the notes what class (or classes) you're paying for.

Option 2 - Zelle

Send your total payment through Zelle to this email address: pamdunnedtila@mac.com

Please write what class (or classes) your total payment is for. (Zelle is usually accessable through your banking app, and there is no fee for this service.)

Option 3 - Send a Check

For check information, please email: ruthdtila@gmail.com

Other Payment Option for Those Outside the USA

Foreign participants who are not able to pay through Venmo or Zelle will need to add a $15 fee for foreign transfer to bank (the $15 should be added to the cost of their classes' total payment). Bank information for the transfer will be sent upon request. Please email Kamran Afary for Bank Information: dramatherapyabroad@gmail.com

Please take the time now to complete your payment!

For any payment questions, please email RuthDTILA@gmail.com

To work out a payment plan, please email pamela@dramatherapyinstitutela.com
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Are you planning on paying for any core classes via payment plan? *If so, please pay part of the cost today and email Pam Dunne to confirm*
YESNO
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I have paid in full using:
Zelle
Venmo
Foreign Transfer
Check
Other - I have communicated with Pam Dunne and have made other arrangements
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Would you like to receive emails from DTILA/ CTC about future classes and events?
Yes, I would like to receive them
No, I do not want to receive them
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How did you hear from us?
Facebook or Facebook Group
Instagram
Previous Student
LinkedIn
A Friend
CAMFT
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Congratulations!

You have now completed all the questions. Once you click the blue SUBMIT button on the bottom right, a copy of your registration form will be sent to the email you provided. (If you do not recieve a copy of your form, please make sure to check your spam/junk folder.) Any information regarding the classes you signed up for should be sent to you at least three days prior to the class start date. For any further questions, please contact the Registrar at RuthDTILA@gmail.com

Thank you so much, and we are glad to have you as part of our DTILA community!
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