Final 24th Annual Play Therapy Conference Registration Form

24th Annual Play Therapy Conference featuring Marshall Lyles: Registration Form

April 12-13, 2024. Scotia, 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
Play Therapy Supervision: Friday, April 12th- 4:45 PM - 6:45 PM

Gabe Lomas, Ph.D., RPT-S : Forensic Issues in Supervising Play Therapists Who Go to Court

Check the Play Therapy Supervision box on the order form below if you want to attend this workshop.
Select Day(s) You Are Registering For:*
Select Dietary Restrictions :*
I want to pay by:*

CheckCredit Card (using PayPal)
Contact Info:

Camille Arth Boccio, LCSW, NYAPT Treasurer
137 Foxcroft Dr Hamburg, NY 14075
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.

Pay By Check:

Select the boxes below for your registration. Please note the total amount due before you click the 'Submit' button. You will be given instructions on where to send your payment after you submit your registration.
Conference Registration Order Form - please check the boxes below for those items you wish to register for:*

Play Therapy Supervision: $100.00One Day Registration - Student: $170.00One Day Registration - Member: $225.00One Day Registration - Non-Member: $270.00Two Day Registration - Student: $229.00Two Day Registration - Member: $359.00Two Day Registration - Non-Member: $459.00

Pay By Credit Card (using PayPal):

Select the boxes below for your registration. You will be re-directed to PayPal to enter your credit card information after you submit your registration.
Conference Registration Order Form - please check the boxes below for those items you wish to register for:*
prevnext( X )
Play Therapy Supervision$100.00

One Day Registration - Student$170.00

One Day Registration - Member$225.00

One Day Registration - Non-Member$270.00

Two Day Registration - Student$229.00

Two Day Registration - Member$359.00

Two Day Registration - Non-Member$459.00

Total $0.00
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24th Annual Play Therapy Conference featuring Marshall Lyles: Registration Form