FALL 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 (no dashes)
Address
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What best describes you?If none of the options fit, please fill out the "other" box with the appropriate descriptor.
Graduate Student
Alternate Training (AT) Student
Other
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License Number & Type / Indicate if you are an AT Student(Ex: LMFT 12345 / AT Student.) If you do not have a license number and/or are not an Alternate Training Student (AT), please enter "n/a"
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Please check the boxes for the classes you are registering for!
Group Psychotherapy - September 14, 21, 28; October 12, 19, 26; November 2, 9, 16; Dec 7, 14
Narradrama Approaches to Addiction, Accountability, and the Protector Within - September 19
Principles of Drama Therapy - Sept. 27, Oct. 4, October 11, 25, Nov. 1, 8, 15, 22
Clinical Uses of Narradrama: Narradrama Steps - September 7, October 5, November 23
Embodying Ethics: Navigating Uncertainty Through Drama Therapy - December 6 & 13
INDEPENDENT STUDY: Gangs, Riots: Verbatim Enacted Roles Inspired by Anna Deavere Smith
INDEPENDENT STUDY: Incarceration, Youth and Therapeutic Intervention
INDEPENDENT STUDY: Ethics and the Law
INDEPENDENT STUDY: Drama Therapy Practice with LGBTQ+
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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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Are you local to the DTILA, and are you interested in the option for in-person or 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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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. The page will ask if you want to make a copy the document. Do so and fill out the form, following the instructions in the form. The information provided in the "Calculating Your Total Payment" section will be in the second page of that form.

3. Send your completed form to assistant.dtila@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 Administration for help by emailing: assistant.dtila@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 Semester Page on the website.)

Core Class (3 Units): $899

7 Hour Class (.5 Unit): $169

14 Hour Class (1 Unit): $338

If you need assistance calculating your total payment, please reach out to the DTILA Administration by emailing: assistant.dtila@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.

When notating the reason for transaction, please put "social activity" rather than "purchase" or "payment." This ensures Venmo does not extract a fee from your payment. (If this mistake is made we may reach out and request another payment to cover the fee.)

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: assistant.dtila@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 Ruth and Taylor at assistant.dtila@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?Please leave this question blank if you already receive DTILA/CTC emails
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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Once You Hit Submit...

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 to seven days prior to the class start date. Please monitor the email you registered with and reply with a confirmation when you receive the instructor's email!

For any further questions, please contact Administration via Assistant.DTILA@gmail.com

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