2017-18 Workshop Registration

Parents, therapists, educators who touch the lives of children with learning challenges are invited to join us for these sessions. Admission fees are as follows:

Evening Workshop General Admission with Advance Registration & Payment - $20

Evening Workshop General Admission Day of Workshop without Advance Registration - $30

Full-Day Workshop General Admission with Advance Registration & Payment - $99

Full-Day Workshop General Admission Day of Workshop without Advance Registration - $120

Personal checks, paypal only at the time of online advance registration, and credit cards are accepted.

Please complete this form and choose the session(s) you plan to attend.

*CLOSED* AutPlay in the Classroom and Therapy Settings - Thursday, October 11, 2018 6:00-7:30pm $20 in advance/$30 at door Offsetting Challenges in Executive Functioning - Wednesday, November 28, 2018 6:00-7:30pm $20 in advance/$30 at door Nonchemical Treatment for ADHD - Monday, January 28, 2019 6:00-7:30pm $20 in advance/$30 at door Restorative Practices: Building a Culture of Community - Friday, February 15, 2019 8:00am-4:00pm $99 in advance/$120 at door The Effects of Trauma: Understanding Dysregulation - Monday, March 4, 2019 6:00-7:30pm $20 in advance/$30 at door

Please select your method of payment *

Miriam Staff/Miriam School or Miriam Academy Parent Check: Mail to Miriam Learning Center, 501 Bacon Ave., St Louis MO 63119 Credit Card: To pay by phone, call 314-961-1500 Paypal: See Below

Paypal Amount: ENTER ONLY IF USING PAYPAL

USD MLC Miriam Empowers Workshop

How did you hear about the workshops? *

Miriam Website Mailing Social Media Direct Email Family/Friend Partner School

Full Name *

Prefix First Name Last Name

E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number

Company/School

If you would like to register additional people to attend this seminar with you, please add their information in the fields below.

Full Name

Prefix First Name Last Name

E-mail

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number

Company/School

Full Name

Prefix First Name Last Name

E-mail

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number

Company/School

Suggestions or topics you would like to be included in future workshops?

Refund Policy

For the evening seminars, a refund is offered to Advance Registration participants if cancellation notice is provided to Miriam Learning Center (MLC) at least 24 hours before the event. For the daytime seminar, a refund is offered to Advance Registration participants if cancellation notice is provided to MLC at least 5 business days in advance.

All workshops are subject to attendance and weather conditions. If we are forced to cancel a workshop all registered attendees will receive an email in advance.

Events will be held at the Miriam School Gym, located at 501 Bacon Avenue, St. Louis, MO 63119.

Please call our office at 314.961.1500 with any questions.

2018-19 Workshop Registration