Play Therapy Program Registration
Please complete this form in its entirety. Maria will reach out with 48 business hours. 
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Email *
Name and Credentials *
Phone Number *
Email Address *
Mailing Address *
Have you taken any trainings with an APT approved provider in the past five years? *
If yes, please email your collection of CE certificates specific to play therapy with an APT approved provider to maria@anewhopetc.org
Do you have documentation of supervision with a Registered Play Therapist - Supervisor? *
If yes, please email your documentation of supervision specific to play therapy with a RPT-S to maria@anewhopetc.org
I understand that registering for the Play Therapy Training Program is an 8 month commitment. *
I have reviewed the posted dates of training for this phase and agree that I will attend all as scheduled. *
I understand that I must have the ability to work with children during the program. (There is an expectation for you to earn 50-70 client hours during Phase 1).    *
I understand that I must have at least one play therapy session reviewed by a supervisor in Phase 1. This can be done via recording, via Zoom or via role playing if necessary.  *
I understand that the provided supervision is required and not optional.  *
I understand that the provided supervision is solely towards my play therapy education and experience and NOT towards my clinical licensure. *
Which of the provided supervisors would you prefer to be matched with: (check all that apply)
Your selection is not guaranteed. 
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