New Customer Registration Form

Thank you for your interest in professional training from Milestones. Please complete the form below and a Milestones team member will contact you to learn more about your training needs.

NOTE: If you are an individual seeking resources for a family member, friend, client or self, contact our Helpdesk with your resource needs by completing an intake form. The Milestones free Helpdesk can connect you to: Therapists, Tutors, Assessment, Doctors, Support Groups, Social Opportunities, Respite Care, Funding Resources… and more!

Full Name*

First NameLast Name

Organization

Phone Number*

E-mail

example@example.com

I am interested in training for an*

To request resources for a family member, friend, client or self, contact our Helpdesk with your resource needs by completing an intake form. The Milestones free Helpdesk can connect you to: Therapists, Tutors, Assessment, Doctors, Support Groups, Social Opportunities, Respite Care, Funding Resources… and more!

Please give a brief description of what you are looking for in a training session.*

Training Request