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2023-11-08T18:27:54+00:00
“Parents as Partners” Training Program
Event Registration
Name
First
Last
Name of Spouse/Partner/Caretaker
First
Last
Event you are signing up for.
Saturday, September 28, 2024
Saturday, October 26, 2024
Are you signing up for...
Select One
Individual
Couple
Check if you are a...
Foster Parent
Adoptive Parent
Caregiver/Support System
Biological Parent
Step-parent/Partner
Family/Friend
Check if you will be attending....
In-person (required to receive 6-hours of training for foster parents)
Zoom
Phone
Phone
Email
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
How long have you been a Foster Parent, Adoptive Parent, or Caregiver for a child who has experienced trauma:
How did you hear about Parents as Partners training?
How would you identify your current parenting with children who have experienced trauma?
Select One
Newborn: Just beginning in the trauma parenting world
Toddler: Been parenting a few years but could use some more tools and resources
Adolescent: Struggling with behaviors and attachment
Adult: Been through the tough years but would like to improve relationship with my child
I am a support for a child who has experienced trauma
What would you like to gain or better understand from this training?
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Security Code
Cardholder Name
Total
Untitled
First Choice
Second Choice
Third Choice
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