Register for January 2022 Class Registering For January 2022 Class Step 1 of 2 - Choose Your Seminar(s) 50% For the Introductory Training, please select the full fee or reduced fee option below (reduced fee with case commitment only for attendees in Orange, Osceola, Seminole, Lake and Brevard counties). CLE for lawyers and CE for psychologist FPA members is covered in the registration fee. Non-FPA member psychologists and Florida Chapter 491 mental health professionals may obtain CE credit with an additional fee. When you register online, you can pay via PayPal with a major credit card or draft from a bank account. A PayPal account is not required. Please note: Only the word "PayPal" may appear on your statement so please make a note of this charge. If you would prefer to register by fax or mail, please print the form located here. For the Advanced Training, CLE for lawyers is included in the registration fee. Please only select the reduced fee if you have attended and completed our Introductory training. If you have any questions you may call (407) 862-2722 week days from 9:00 am to 4:00 pm.Introductory Training in the Interdisciplinary Team Model Of Collaborative Practice Price: $495.00 Quantity: Above please enter the number of people you are registering. Date: January 13, 14, 15, 19, 20, 2022 Time: See agenda for start and end times for each day Location: VirtualFor Reduced Fee of $450.00 I attest that I meet the residency and license requirements for this reduced fee. I understand that by paying this reduced fee I have committed to completing 1 Collaborative Case at the Barry School of Law Pro Bono Collaborative Clinic for which I will receive no professional fees. Also, if I require mental health CEs for this training, I am responsible for an additional $25.00 fee. Introductory Training in the Interdisciplinary Team Model Of Collaborative Practice -- Reduced Fee Price: $450.00 Quantity: Date: January 13, 14, 15, 19, 20, 2022 Time: See agenda for start and end times for each day Location: VirtualContinuing Education Fee for Introductory Training only (LMHC, LMFT, LCSW, non-FPA member psychologists) Yes, $25.00 No, $0.00 Total Cost: $0.00 Name* First Last If registering for someone else, please provide the name of the attendee here: First Last Attendee's Profession Mailing Address: Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone:Comments About Your Registration: Δ Payment accepted by PayPal, debit or credit card through PayPal processing system but you do not need a PayPal account.