PACE Place Professional Immersion Workshop

Presented by Eric Hamblen and Kathi Calouri, Ph. D. of PACE Place Inc.

ONLINE registration deadline is May 2^nd, 2009
For details, click on PACE Place Professional Seminar Series - Boise, ID 2009.

The Interactive Lecture and Hands-On Activities will be held on May 17^th.  Professionals will also spend one day observing the PACE Professionals consult with 1-2 families.  This will be scheduled from May 18^th to the  May 20^th.

Registration will be completed by phone with Deb Crowell after

receipt of this online notification

Step 1:  Registrant Information

Registrant #1 Information

(*required for confirmation) 

*First Name    

*Last Name   

*Phone Number: Home 

Phone Number: Cell  

*E-Mail 

*Mailing Address

*City   *State *ZIP

Registrant #2 Information

(*required for confirmation of Registrant #2)

*First Name    

*Last Name   

*Phone Number: Home 

Phone Number: Cell  

*E-Mail 

If different from Registrant #1:

*Mailing Address 

*City    *State *ZIP

Step 2:  Payment Selection

(required for confirmation)

Cost is $250

Credit Card (Visa/MC only)

All Credit Card information will be accepted by Deb Crowell over the phone when she calls to finalize the registration.”

Check

        Amount 

 

For those preferring to pay via check, please print this form and mail in with payment to:                                     

PACE Place, Inc.                                                     

Attn: Deb Crowell                                                       

2360 SW 170^th Ave                                                 

Beaverton, OR  97006

Note:  If you are sent to an error page, check to be sure the required fields and options have been filled out. 

The required fields are:

    1) Select your Seminar (Full Day only or Workshop Package)

    2) Registration Information: First and Last Name, Home Phone and email. 

            Only the First Registrant is required.

    3) Payment Selection: Select Check or Credit Card and fill in the needed information.

Click     to complete your registration!

Please call Deb Crowell, Office Manager at 503-356-8334 x 6# if you have any further questions about the PACE Place Professional Immersion Workshop or about PACE Place, Inc.