WORKSHOP/ SPEAKING REQUEST
Please note: KPCC now offers FREE or reduced workshop fees for clergy and congregations.

Businesses, non-profits and other organizations who would like to discuss fees and availability, please complete the form. Erin from KPCC will contact you to discuss event details.

Contact erin@kpcc.com with questions.

Which type of workshop are you interested in hosting? *
Would you like KPCC to provide CE credits for this workshop? (SW, LPC, RN & Addictions) *
Which of the following do you represent? *
Where will this event take place? *
Preferred Date for Workshop
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/
DD
Alternate Date for Workshop
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Will this event be open to the public? *
Required
How many participants do you expect to attend this workshop? *
First and Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Sponsoring Agency *
Your answer
Comments or Questions
Your answer
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