Register – House of Hope

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Register

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PERSONAL INFORMATION

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NAME *

ADDRESS *

STATE *

PHONE *

AGENCY

Training Location *

Redemption Church (Lakeland)
Victory Church (Lakeland)
Family Partnerships of Central Florida (Maitland)

DATE OF BIRTH

CITY *

ZIP CODE *

EMAIL *

Date of Training Wishing to Attend *

Date

Time

COURSE INFORMATION (select all courses you will be attending)

Select courses attending: *

Trust Based Relational Intervention (TBRI) for Caregivers - $75.00
Trust Based Relational Invervention (TBRI) Refresher Course - $50.00
Non-Violent Crisis Prevention and Intervention (Includes disengagement skills and physical intervention) - $100.00
At Risk for Sex-Trafficking Prevention (required 12-hour course) - $75.00
Medication Administration - $0.00

*All training is 8:30am – 3:00pm unless otherwise specified. *TBRI Refresher course is only available to individuals who have already taken full TBRI course previously.

Select courses attending: *

Trust Based Relational Intervention (TBRI) for Caregivers - $75.00
Non-Violent Crisis Prevention and Intervention - $100.00
Trust Based Relational Intervention (TBRI) for Caregivers & Non-Violent Crisis Prevention and Intervention (July Maitland Training Only!) - $150.00

Special deal and save if you combine both trainings! All trainings start at 8:30 am - 3:30 pm unless otherwise specified.

Please review and sign attached Registration Form. Once completed, upload signed Registration Form below.

To be officially enrolled in the training, self-payments must be submitted prior to the first day of training. The REGISTRATION AGREEMENT must also be signed and submitted.

Are you completing registration for yourself? *

Download the Registration Agreement here.

Houses of Hope Registration Agreement

File Upload *

Please upload signed Registration Agreement here.

I AGREE TO THE ABOVE *

I AGREE

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Signature *

Date *

Total

$0.00

Are you paying with an invoice? *

Agency *

Address *

Phone Number *

Email Address *

Stripe Credit Card *

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Contact Us

training@housesofhopefl.org
(863) 665-1916

3000 K-VILLE AVE, AUBURNDALE FL