Level One Theraplay & MIM Financial Assistance Application
$150 discounts are available for people who work with under served populations in a non-profit organization. If you qualify, your registration fee will be required to confirm your space. This discount may not be combined with any other offers or discounts. Please provide your contact information and then click through to the next page to answer qualifying questions.
Name
*
First Name
Last Name
E-mail
*
Place of Employment
*
Training you wish to attend
*
Olathe, KS (November 2-5, 2020)
Atlanta, GA (November 2-5, 2020)
Evanston, IL (November 16-19, 2020)
Indianapolis, IN (January 25-28, 2021)
Evanston, IL (February 16-19 & 23-24
Next
Clear Form
Should be Empty: