Registration for Fidelity Training Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 2Name *FirstLastEmail *Phone *AgencyIf applicableAre you registering for someone other than yourself? *YesNoAre you registering for someone *in addition* to yourself? *YesNoEx: You are registering for yourself and a co-worker.How many people will you be registering for? *12345How many additional people will you be registering for? *1234RegistrantsName - Registrant #1 *FirstLastRegistrant #1 Email *Name - Registrant #2 *FirstLastRegistrant #2 Email *Name - Registrant #3 *FirstLastRegistrant #3 Email *Name - Registrant #4 *FirstLastRegistrant #4 Email *Name - Registrant #5 *FirstLastRegistrant #5 Email *Training OptionsPlease note: In order to register for Experienced Level Qualified Facilitator Training, participants must have completed one cycle of AWCTC in the 3rd Edition or Women's Edition. Please contact Nada Yorke [email protected] if you have questions. Which training do I need? Our Entry Level Phase One workshop in the Strategies for Success Training Series is designed for facilitators who are new to Another Way…Choosing to Change curriculum (3rd Ed). The Advanced Facilitation Phase Two workshop in the Strategies for Success Training Series is available for those who have completed the Phase One training (Entry or Experienced Level) AND have completed a full curriculum cycle. Which training are you registering for? *Entry Level - Phase 1: June 4th, 11th, & 18th (Tuesdays) - $300.00Entry Level - Phase 1: June 6th & 13th (Tuesdays) - $300.00Entry Level - Phase 1: October 4th & 11th (Fridays) - $300.00Entry Level - Phase 1: November 6th & 13th (Wednesdays) - $300.00Advanced Facilitation - Phase 2: June 7th & 14th (Fridays) - $300.00Advanced Facilitation - Phase 2: October 18th & 25th (Fridays) - $300.00Advanced Facilitation - Phase 2: November 8th & 15th (Fridays) - $300.00012345Please adjust the quantity based on how many people you are registering for the event.Class MaterialsAre you currently using Another Way…Choosing to Change 3rd Edition and/or the Women's Edition? *YesNoSince this class is designed for those using this curriculum, it is necessary to attend the training. If you are not currently using the curriculum, please purchase below at the special training rate.Layout3rd Edition Curriculum SetFacilitator GuideWomen's Curriculum Set Facilitator Guide26 Week Curriculum SetFacilitator GuidePlease select how many copies of the 3rd Edition Curriculum Set you need at your special training price.Price: $85.00012345Price per book.Please select how many copies of the Women's Edition Curriculum Set you need at your special training price.Price: $85.00012345Price per book.Please select how many copies of the 26 Week Edition Curriculum Set you need at your special training price.Price: $70.00012345Price per book.Mailing Address for your book purchase *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code* Please note, books are REQUIRED for the class and can take between 2-3 weeks for delivery. Email us if you have any questions!PaymentTotal *$0.00Please enter payment. *Credit Card field is disabled, Square payments are not enabled in the form settings.NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousFinish Registration
