Compassion Fatigue Strategies, Plus Group Enrollments
To register multiple people for this course, please complete this form with your group information to assist in the enrollment process. 

Once completed we will email you a group specific how-to guide for your students to use while creating their student profiles in the University of Florida registration system.

We recommend taking a look through this form to make a note of all the information requested before filling it out. You can modify your responses, if needed.

If you need assistance, please contact Dana Moore:

Email: Danamarie0737@ufl.edu
Phone: (352) 294-4891.
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Fees
Organization Name *
Organization Street Address
(Ex: 555 Main St.)
*
Organization Address 2
(Ex: Suite B, Apt 24, etc.)
Country *
State/US Territory or Province *
Zip/Postal Code *
Organization Phone Number
(Numbers only)
*
How many students will you be registering in the course?
(Number only)
*
First and Last Name of Primary Contact  *
(This will be the person we contact regarding questions/concerns and payment information during enrollment. This person will be listed on the invoice as the contact for the organization.)
Primary Contact Email Address *
Primary Contact Phone Number
(Numbers only)
*
Participant 1 
First and last name
Email address

Participant 2 
First and last name
Email address

Participant 3
First and last name
Email address

Participant 4
First and last name
Email address

Participant 5
First and last name
Email address

Participant 6
First and last name
Email address
Participant 7
First and last name
Email address
Participant 8
First and last name
Email address
Participant 9
First and last name
Email address
Participant 10
First and last name
Email address
Participant 11
First and last name
Email address
Participant 12
First and last name
Email address
Participant 13
First and last name
Email address
Participant 14
First and last name
Email address
Participant 15
First and last name
Email address
Additional Participants
If you are registering a group with more than 15 people, please enter remaining participant information in the comment section below.

If you need assistance, please contact Dana Moore at Danamarie0737@ufl.edu or (352) 294-4891.
If you have any questions or comments, please enter them here.

If you are registering additional people, please enter that information here.
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