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Register For Safe and Strong Child© Train the Presenter
Safe and Strong Child© Train the Presenter
Name
*
First
Last
Pronouns
Please select all of the following that best describes you*:
*This information is being collected for funding purposes; your responses are optional.
Alaska Native
Indigenous
Asian or Pacific Islander
Black or African American
Hispanic or Latino
Native Hawaiian or Regional Pacific Islander
White
A race or ethnicity not listed here
A race or ethnicity not listed:
Do you work with a tribal child welfare agency? If so, which tribe are you affiliated with?
Email
*
Professional Title
*
Organization
*
Organization Phone
*
Organization Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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Hawaii
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Maryland
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Armed Forces Americas
Armed Forces Europe
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State
ZIP Code
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Supervisor's Name
*
Supervisor's Email
*
How did you hear about this training?
*
Mailer
Email
Supervisor
Colleague
Conference
Webinar
Other
Reason(s) for attending this training?
Training Selection
*
Choose your training date below. You will be invoiced via QuickBooks within the next couple of days after submitting the form.
January 16-17, 2025 - Virtual - $500
June 12-13, 2025 - Virtual - $500
Safe and Strong Child© Physical Kit Selection
*
The optional Safe and Strong Child© Physical Kit includes: 1 set of heavy-duty demonstration photos, 1 vinyl carrying case, printed presenter training manual (request 1-5 as needed), USB drive with administrative templates. The physical kit will be shipped to your organization; we recommend 1 kit per organization. Each participant will receive electronic versions of these documents.
Yes - ship me a physical kit - $350
No - no physical kit needed