Register For Safe and Strong Child© Train the Presenter - First Witness Child Advocacy Center

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 State ZIP Code

County

Supervisor's Name*

Supervisor's Email*

How did you hear about this training?*

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.

April 11-12, 2024 - TBD- $500

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