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Register for Safe & Strong Communities
Safe & Strong Communities Registration
Register here for a session of Safe & Strong Communities.
Are you registering a group on behalf of your agency/organization?
(Required)
Yes - I'm registering a group
No - I'm just registering myself
Group Size
(Required)
Please enter a number from
2
to
100
.
Register up to 100 participants. Pricing dependent on group size: 2-9 registering together $40/each; 10-20 registering together $30/each; 21+ registering together $25/each
Registrant Contact Information
(Required)
Email contact information
Upload contact information
Please share names and email addresses for each member of your group. This can be emailed to: abloss@firstwitness.org or uploaded below.
File
Max. file size: 128 MB.
Your Information
Name
First
Last
Pronouns
Please select all of the following that best describes you*:
Indigenous/Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Pacific Islander
White
A race or ethnicity not listed here
*This information is being collected for funding purposes; your responses are optional.
Do you work with a tribal child welfare agency? If so, which tribe are you affiliated with?
Email
(Required)
Position / Job Title
(Required)
Agency/Organization
(Required)
Organization Phone
(Required)
Organization Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
County
(Required)
Supervisor's Name
(Required)
Supervisor's Email
(Required)
How did you hear about this webinar?
Mailer
Email
Supervisor
Colleague
Conference
Social Media
Other
Training Selection
(Required)
September 10, 2-4pm CT
September 27, 10am - 12pm CT
November 1, 10am - 12pm CT
Choose your training date(s) below; each session is virtual and times listed are in Central Time.
Do you want a scholarship for this training?
(Required)
Yes
No - my organization will pay full price.
Pricing dependent on group size: 1 participant $50; 2-9 registering together $40/each; 10-20 registering together $30/each; 21 and over registering together $25/each
Scholarship Discount Request
(Required)
10% ($22.50-45/participant)
20% ($20-40/participant)
30% ($17.50-35/participant)
40% ($15-30/participant)
50% ($12.50-25/participant)
Participant price determined by registration group size. Scholarship requests are made on an honor system - no documentation necessary.
Safe & Strong Communities Registration
Register here for a session of Safe & Strong Communities.
Are you registering a group on behalf of your agency/organization?
(Required)
Yes – I’m registering a group
No – I’m just registering myself
Group Size
(Required)
Please enter a number from
2
to
100
.
Register up to 100 participants. Pricing dependent on group size: 2-9 registering together $40/each; 10-20 registering together $30/each; 21+ registering together $25/each
Registrant Contact Information
(Required)
Email contact information
Upload contact information
Please share names and email addresses for each member of your group. This can be emailed to: abloss@firstwitness.org or uploaded below.
File
Max. file size: 128 MB.
Your Information
Name
First
Last
Pronouns
Please select all of the following that best describes you*:
Indigenous/Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Pacific Islander
White
A race or ethnicity not listed here
*This information is being collected for funding purposes; your responses are optional.
Do you work with a tribal child welfare agency? If so, which tribe are you affiliated with?
Email
(Required)
Position / Job Title
(Required)
Agency/Organization
(Required)
Organization Phone
(Required)
Organization Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
County
(Required)
Supervisor's Name
(Required)
Supervisor's Email
(Required)
How did you hear about this webinar?
Mailer
Email
Supervisor
Colleague
Conference
Social Media
Other
Training Selection
(Required)
September 10, 2-4pm CT
September 27, 10am – 12pm CT
November 1, 10am – 12pm CT
Choose your training date(s) below; each session is virtual and times listed are in Central Time.
Do you want a scholarship for this training?
(Required)
Yes
No – my organization will pay full price.
Pricing dependent on group size: 1 participant $50; 2-9 registering together $40/each; 10-20 registering together $30/each; 21 and over registering together $25/each
Scholarship Discount Request
(Required)
10% ($22.50-45/participant)
20% ($20-40/participant)
30% ($17.50-35/participant)
40% ($15-30/participant)
50% ($12.50-25/participant)
Participant price determined by registration group size. Scholarship requests are made on an honor system – no documentation necessary.
