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 are you registering for? *Entry Level - Phase 1: June 4th, 11th & 18th (Tuesdays) **8:30 am - 2pm PST** - $300.00Entry Level - Phase 1: June 6th & 13th (Thursdays) - $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) - $300.00Which training are you registering for? *1 registrant Entry Level - Phase 1: June 4th, 11th & 18th (Tuesdays) **8:30 am - 2pm PST** - $300.001 registrant Entry Level - Phase 1: June 6th & 13th (Thursdays) - $300.001 registrant: Entry Level - Phase 1: October 4th & 11th (Fridays) - $300.001 registrant: Entry Level - Phase 1: November 6th & 13th (Wednesdays) - $300.001 registrant: Advanced Facilitation - Phase 2: June 7th & 14th (Fridays) - $300.001 registrant: Advanced Facilitation - Phase 2:October 18th & 25th (Fridays) - $300.001 registrant: Advanced Facilitation - Phase 2: November 8th& 15th (Fridays) - $300.00Which training are you registering for? *2 registrants: Entry Level - Phase 1: June 6th & 13th (Thursdays) - $600.002 registrants: Entry Level - Phase 1: June 4th, 11th & 18th (Tuesdays) **8:30 am - 2pm PST** - $600.002 registrants: Entry Level - Phase 1: October 4th & 11th (Fridays) - $600.002 registrants: Entry Level - Phase 1: November 6th & 13th (Wednesdays) - $600.002 registrants: Advanced Facilitation - Phase 2: June 7th & 14th (Fridays) - $600.002 registrants: Advanced Facilitation - Phase 2:October 18th & 25th (Fridays) - $600.002 registrants: Advanced Facilitation - Phase 2: November 8th& 15th (Fridays) - $600.00Which training are you registering for? *3 registrants: Entry Level - Phase 1: June 4th, 11th & 18th (Tuesdays) **8:30 am - 2pm PST** - $900.003 registrants: Entry Level - Phase 1: June 6th & 13th (Thursdays) - $900.003 registrants: Entry Level - Phase 1: October 4th & 11th (Fridays) - $900.003 registrants: Entry Level - Phase 1: November 6th & 13th (Wednesdays) - $900.003 registrants: Advanced Facilitation - Phase 2: June 7th & 14th (Fridays) - $900.003 registrants: Advanced Facilitation - Phase 2:October 18th & 25th (Fridays) - $900.003 registrants: Advanced Facilitation - Phase 2: November 8th& 15th (Fridays) - $900.00Which training are you registering for? *4 registrants: Entry Level - Phase 1: March 20th & 27th (Wednesdays) - $1,200.004 registrants: Entry Level - Phase 1: April 12th & 19th (Fridays) - $1,200.004 registrants: Entry Level - Phase 1: June 4th, 11th & 18th (Tuesdays) **8:30 am - 2pm PST** - $1,200.004 registrants: Entry Level - Phase 1: October 4th & 11th (Fridays) - $1,200.004 registrants: Entry Level - Phase 1: November 6th & 13th (Wednesdays) - $1,200.004 registrants: Experienced* Level - Phase 1: April 2nd & 9th (Tuesdays) - $1,200.004 registrants: Advanced Facilitation - Phase 2: March 15th & 22nd (Fridays) - $1,200.004 registrants: Advanced Facilitation - Phase 2: April 16th & 23rd (Tuesdays) - $1,200.004 registrants: Advanced Facilitation - Phase 2: June 7th & 14th (Fridays) - $1,200.004 registrants: Advanced Facilitation - Phase 2:October 18th & 25th (Fridays) - $1,200.004 registrants: Advanced Facilitation - Phase 2: November 8th& 15th (Fridays) - $1,200.00Which training are you registering for? *5 registrants: Entry Level - Phase 1: March 20th & 27th (Wednesdays) - $1,500.005 registrants: Entry Level - Phase 1: April 12th & 19th (Fridays) - $1,500.005 registrants: Entry Level - Phase 1: June 4th, 11th & 18th (Tuesdays) **8:30 am - 2pm PST** - $1,500.005 registrants: Entry Level - Phase 1: October 4th & 11th (Fridays) - $1,500.005 registrants: Entry Level - Phase 1: November 6th & 13th (Wednesdays) - $1,500.005 registrants: Experienced* Level - Phase 1: April 2nd & 9th (Tuesdays) - $1,500.005 registrants: Advanced Facilitation - Phase 2: March 15th & 22nd (Fridays) - $1,500.005 registrants: Advanced Facilitation - Phase 2: April 16th & 23rd (Tuesdays) - $1,500.005 registrants: Advanced Facilitation - Phase 2: June 7th & 14th (Fridays) - $1,500.005 registrants: Advanced Facilitation - Phase 2:October 18th & 25th (Fridays) - $1,500.005 registrants: Advanced Facilitation - Phase 2: November 8th& 15th (Fridays) - $1,500.00Class 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.LayoutIf no, which item do you need to purchase?3rd Edition Curriculum SetWomen's Curriculum Set26-Week Curriculum SetPlease select how many copies of the 3rd Edition Curriculum Set you need at our special training price.none - $0.001 set of AWCTC 3rd Edition - $85.002 sets of AWCTC 3rd Edition - $170.003 sets of AWCTC 3rd Edition - $255.004 sets of AWCTC 3rd Edition - $340.005 sets of AWCTC 3rd Edition - $425.00Please select how many copies of the Women's Edition Curriculum Set you need at our special training price. none - $0.001 set of AWCTC Women's Edition - $85.002 sets of AWCTC Women's Edition - $170.003 sets of AWCTC Women's Edition - $255.004 sets of AWCTC Women's Edition - $340.005 sets of AWCTC Women's Edition - $425.00Please select how many copies of the 26-Week Edition Curriculum Set you need at our special training price. none - $0.001 set of AWCTC 26-Week Curriculum - $70.002 sets of AWCTC 26-Week Curriculum - $140.003 sets of AWCTC 26-Week Curriculum - $210.004 sets of AWCTC 26-Week Curriculum - $280.005 sets of AWCTC 26-Week Curriculum - $350.00Mailing 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. *CardName on CardNextUpdating 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
