JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
11/11-11/13/2022: The Magic and Science of Psychodrama: Spirit, Mind, and Body in Trauma Healing
This event will take place at the Phoenix Center for Experiential Trauma Therapy office – 524 N. Providence Road Media, PA 19063
Please fill out the following registration form. After you are done, please go to our website to pay for your registration using PayPal.
https://www.phoenixtraumacenter.com/event/the-magic-and-science-of-psychodrama-spirit-mind-and-body-in-trauma-healing/
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full name
*
Your answer
Preferred Pronouns
*
Your answer
Contact number
*
Your answer
Organization
*
Your answer
Please choose the dates you are registering for:
*
Full Weekend- November 11-13, 2022
Friday Only- November 11, 2022
Required
Please choose your license/certification type
*
Social Worker
Psychologist
Counselor
Marriage and Family Therapist
Educator
Other:
Do you have prior experience with psychodrama training?
*
Your answer
How did you hear about this training workshop?
*
Your answer
Please let us know if you need any special accommodations (mobility, accessibility, time, attendance, etc.). We will do our best to accommodate requests or contact you to let you know if we are unable to
*
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
