Play Academy Registration Phase 2
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 - outside of A New Hope's Play Academy Phase 1? *
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 - outside of A New Hope's Play Academy Phase 1? *
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 Academy Phase 2 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 100-150 client hours during Phase 2).  *
I understand that I must have at least two play therapy session reviewed by a supervisor in Phase 2. 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)
If you completed Phase 1 with us, it is assumed you will keep your supervisor, however you are allowed to request a change. 
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