Womencare - Workshop Registration
Please complete the registration form below. For payment information, cancellation policies or other information, visit our Registration Page at
or call 847-475-7003 x 21
Your full name
Name for nametag
if different from above
(in case we need to reach you about your registration)
For professionals: what is your profession?
(LSW, LCPC, PsyD, Case Worker, School Social Worker, etc)
For professionals: name of your agency?
Which workshop are you registering for?
The Grieving Therapist, Sunday, February 3, 2019, 1pm - 4pm, $65
The Parent Therapist, Wednesday, February 6, 2019, 6pm - 9pm, $65
Gathering for Therapists of Color, Friday, February 8, 2019, 9am - 11am, Free of charge
Partners in Healing, Sunday, February 10, 2019, 12:00pm - 4:00pm, $75
Partners in Healing Support Group, Saturday, February 16 - March 23, 2019, 9:00am - 11:00am, $240
The Pregnant Therapist, Thursday, February 21, 2019, 10am - 1pm, $65
Contemplative Mind-Body Practice, Sunday, February 24, 2019, 9:00am - 12:00pm, $65
The Wounded Healer, Sunday, March 17, 2019, 9am - 12pm, $65
The Contemplative Therapist, Friday, March 29, 2019, 1pm - 4pm, $65
Tools for Female Survivors, Sunday, April 7, 2019, 12:00pm - 4:00pm, $75
The Emerging Therapist, Friday, April 12, 2019, 9am - 12pm, $65
Parenting with Awareness, Wednesday, April 17, 2019, 6:00pm - 9:00pm, $65
Tools for Male Survivors, Sunday, April 28, 2019, 12:00pm - 4:00pm, $75
The Pregnant Therapist, Thursday, May 16, 2019, 10am - 1pm, $65
How did you hear about this workshop?
(please check all that apply)
How do you wish to pay?
Send check by mail.
Call us at 847-475-7003 x 21 to pay by phone.
Credit card number given below.
Credit card type
Credit card number
Expiration date mm/yy
Notes or comments
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