TBRI® Online Training Registration
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
What region of Louisiana do you live in?
*
Region 1 (Orleans, Jefferson, St. Bernard, Plaquemines)
Region 2 (West Feliciana, East Feliciana, Pointe Coupee, West Baton Rouge, East Baton Rouge, Iberville)
Region 3 (St. Helena, Livingston, Tangipahoa, Washington, St. Tammany)
Region 4 (Terrebonne, Lafourche, St. Charles, St. John the Baptist, St. James, Assumption, Ascension)
Region 5 (Evangeline, St. Landry, Acadia, Lafayette, St. martin, Vermilion, Iberia, St. Mary, St. Martin)
Region 6 (Beauregard, Allen, Calcasieu, Jefferson Davis, Cameron)
Region 7 (Vernon, Rapides, Grant, Avoyelles, La Salle, Winn, Catahoula, Concordia)
Region 8 (Caddo, Bossier, Webster, Caliborne, Bienville, Jackson, Red River, De Soto, Natchitoches, Sabine)
Region 9 (Lincoln, Union, Ouachita, Caldwell, Morehouse, West Carroll, East Carroll, Richland, Franklin, Madison, Tensas)
I live outside of Louisiana
Which of the following sectors do you/your organization represent?
*
DCFS Staff & Child Placing Agency Employees
Judicial Stakeholders
Mental & Behavioral Health Providers
Caregivers (foster/adoptive/bio parents involved in the Child Welfare System)
Nonprofits and the Faith-Based Community
Educators
Organization
Online Training Options
TBRI Online course you are registering for:
*
TBRI Connecting Principles - Tues/Thurs August 11-20, 8:00pm - 9:30pm
Please choose the option that best describes your role:
*
General Admission
Foster/Adoptive Parent
Employee of Department of Children and Family Services
Calculation
Promo code
Calculation
Total Registration Cost
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USD
Payment Methods
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