Register for MARFY Training Workshops

Maryland Association of Resources for Families and Youth
7164 Columbia Gateway Drive, Ste. 210
Columbia, MD 21046

Phone: 410-312-3161 Fax: 410-312-3163
email: vholt@marfy.org

Click here to download the 2009-2010 Training Academy Catalog.

Use this form to register for MARFY training workshops.

Contact Name: *
 
Please list your contact person here. Space will be provided later to list multiple registrants.
Contact Title:
 
Organization Name:
 
Address:*
  
Email:*
  

Phone Number:*
 
Fax Number:*
 

Acknowledgement of Policies and Procedures:

 

By checking this box, the registrant(s) acknowledge that the Training Policies and Procedures (click here to view) have been read and understood and will be followed exactly by the registrant(s).

Please note the policies regarding registration Cancellation, Substitution, Transfer and Refunds. Particularly, please note that the deadline for cancellations and transfers is the registration deadline of each workshop for which you register. Penalty fees or forfeiture of full registration fee may apply if you wish to cancel or transfer a registration after the registration deadline.
     
Membership Status:*
  Yes, I belong to a MARFY Member organization.
No, I do not belong to a MARFY Member organization.
No, I do not belong to a MARFY Member organization but please send me info on how my organization can become one.
   
Please enter registrant info in the spaces provided:
Registrant Contact Info Certificate Needed Dietary Needs*
A


Name:

Email:


Social Work CEU
Couns./Therapist CEU
Program Admin. CEU
Attendance Certificate

None
Vegetarian
Kosher
Other:

Please check the box next to the workshop this Registrant wishes to attend.
Please select all workshops that apply.
Bullying and It's Lasting Mental Health Effects on Youth
(Feb. 22, 2010)		   The Interpersonal and Professional Development of Cultural Competency (Apr. 26, 2010)
Basic Principles of Clinical Supervision (Mar. 2, 2010)   Youth Gang Awareness Prevention and Intervention (May 5, 2010)
Back to the Future: How to Use Your Baggage to Your Advantage in Working with Children in Care (Mar. 12, 2010)   Running a Group (May 25, 2010)
Seeking Family Solutions - A Culturally Competent Approach to Managing Family Resistance (Mar. 30, 2010)   Engaging Families: There IS a way to engage families to participate! (Jun. 10, 2010)
Ethical Decision Making (Apr. 1, 2010)   Effective Behavior Management: An Alternative to Physical Restraints (Jun. 25, 2010)
Working with Sexually Diverse Youth (Apr. 20, 2010)  

CANS (Available Dates: 2/18/2010, 2/24/2010, 3/16/2010, 3/24/2010, 4/13/2010, 4/21/2010, 5/11/2010, 5/19/2010, 6/15/2010, 6/23/2010)
ENTER A DATE:
(Please note: dates with strikethrough are CLOSED)

If you are only registering one person at this time, please click here to skip to Payment Info.

Otherwise, please scroll down.

Registrant Contact Info Certificate Needed Dietary Needs*
B


Name:

Email:


Social Work CEU
Couns./Therapist CEU
Program Admin. CEU
Attendance Certificate

None
Vegetarian
Kosher
Other:

Please check the box next to the workshop this Registrant wishes to attend.
Please select all workshops that apply.
Bullying and It's Lasting Mental Health Effects on Youth
(Feb. 22, 2010)		   The Interpersonal and Professional Development of Cultural Competency (Apr. 26, 2010)
Basic Principles of Clinical Supervision (Mar. 2, 2010)   Youth Gang Awareness Prevention and Intervention (May 5, 2010)
Back to the Future: How to Use Your Baggage to Your Advantage in Working with Children in Care (Mar. 12, 2010)   Running a Group (May 25, 2010)
Seeking Family Solutions - A Culturally Competent Approach to Managing Family Resistance (Mar. 30, 2010)   Engaging Families: There IS a way to engage families to participate! (Jun. 10, 2010)
Ethical Decision Making (Apr. 1, 2010)   Effective Behavior Management: An Alternative to Physical Restraints (Jun. 25, 2010)
Working with Sexually Diverse Youth (Apr. 20, 2010)  

CANS (Available Dates: 2/18/2010, 2/24/2010, 3/16/2010, 3/24/2010, 4/13/2010, 4/21/2010, 5/11/2010, 5/19/2010, 6/15/2010, 6/23/2010)
ENTER A DATE:
(Please note: dates with strikethrough are CLOSED)

Registrant Contact Info Certificate Needed Dietary Needs*
C


Name:

Email:


Social Work CEU
Couns./Therapist CEU
Program Admin. CEU
Attendance Certificate

None
Vegetarian
Kosher
Other:

Please check the box next to the workshop this Registrant wishes to attend.
Please select all workshops that apply.
Bullying and It's Lasting Mental Health Effects on Youth
(Feb. 22, 2010)		   The Interpersonal and Professional Development of Cultural Competency (Apr. 26, 2010)
Basic Principles of Clinical Supervision (Mar. 2, 2010)   Youth Gang Awareness Prevention and Intervention (May 5, 2010)
Back to the Future: How to Use Your Baggage to Your Advantage in Working with Children in Care (Mar. 12, 2010)   Running a Group (May 25, 2010)
Seeking Family Solutions - A Culturally Competent Approach to Managing Family Resistance (Mar. 30, 2010)   Engaging Families: There IS a way to engage families to participate! (Jun. 10, 2010)
Ethical Decision Making (Apr. 1, 2010)   Effective Behavior Management: An Alternative to Physical Restraints (Jun. 25, 2010)
Working with Sexually Diverse Youth (Apr. 20, 2010)  

CANS (Available Dates: 2/18/2010, 2/24/2010, 3/16/2010, 3/24/2010, 4/13/2010, 4/21/2010, 5/11/2010, 5/19/2010, 6/15/2010, 6/23/2010)
ENTER A DATE:
(Please note: dates with strikethrough are CLOSED)

Registrant Contact Info Certificate Needed Dietary Needs*
D


Name:

Email:


Social Work CEU
Couns./Therapist CEU
Program Admin. CEU
Attendance Certificate

None
Vegetarian
Kosher
Other:

Please check the box next to the workshop this Registrant wishes to attend.
Please select all workshops that apply.
Bullying and It's Lasting Mental Health Effects on Youth
(Feb. 22, 2010)		   The Interpersonal and Professional Development of Cultural Competency (Apr. 26, 2010)
Basic Principles of Clinical Supervision (Mar. 2, 2010)   Youth Gang Awareness Prevention and Intervention (May 5, 2010)
Back to the Future: How to Use Your Baggage to Your Advantage in Working with Children in Care (Mar. 12, 2010)   Running a Group (May 25, 2010)
Seeking Family Solutions - A Culturally Competent Approach to Managing Family Resistance (Mar. 30, 2010)   Engaging Families: There IS a way to engage families to participate! (Jun. 10, 2010)
Ethical Decision Making (Apr. 1, 2010)   Effective Behavior Management: An Alternative to Physical Restraints (Jun. 25, 2010)
Working with Sexually Diverse Youth (Apr. 20, 2010)  

CANS (Available Dates: 2/18/2010, 2/24/2010, 3/16/2010, 3/24/2010, 4/13/2010, 4/21/2010, 5/11/2010, 5/19/2010, 6/15/2010, 6/23/2010)
ENTER A DATE:
(Please note: dates with strikethrough are CLOSED)

Registrant Contact Info Certificate Needed Dietary Needs*
E


Name:

Email:


Social Work CEU
Couns./Therapist CEU
Program Admin. CEU
Attendance Certificate

None
Vegetarian
Kosher
Other:

Please check the box next to the workshop this Registrant wishes to attend.
Please select all workshops that apply.
Bullying and It's Lasting Mental Health Effects on Youth
(Feb. 22, 2010)		   The Interpersonal and Professional Development of Cultural Competency (Apr. 26, 2010)
Basic Principles of Clinical Supervision (Mar. 2, 2010)   Youth Gang Awareness Prevention and Intervention (May 5, 2010)
Back to the Future: How to Use Your Baggage to Your Advantage in Working with Children in Care (Mar. 12, 2010)   Running a Group (May 25, 2010)
Seeking Family Solutions - A Culturally Competent Approach to Managing Family Resistance (Mar. 30, 2010)   Engaging Families: There IS a way to engage families to participate! (Jun. 10, 2010)
Ethical Decision Making (Apr. 1, 2010)   Effective Behavior Management: An Alternative to Physical Restraints (Jun. 25, 2010)
Working with Sexually Diverse Youth (Apr. 20, 2010)  

CANS (Available Dates: 2/18/2010, 2/24/2010, 3/16/2010, 3/24/2010, 4/13/2010, 4/21/2010, 5/11/2010, 5/19/2010, 6/15/2010, 6/23/2010)
ENTER A DATE:
(Please note: dates with strikethrough are CLOSED)

*Dietary Needs: MARFY will make every effort to accommodate dietary needs, but by no means guarantees that these needs will be met. If you have a specialized diet and will be attending a full-day workshop at which lunch will be served, please be sure to call Virginia at 410-312-3161, ext. 4 to determine if your needs can be met.
   
Amount to be Paid:*
 
     
Method of Payment:*
  Please bill me at the address above
(MARFY Members ONLY - Non-Members MUST pay in advance ).
  I will be paying by credit card (click here for disclaimer):

Credit Card Number:
(disclaimer)

 
Expiration Date (MM/YY):
 
Card Type:
  VISA
MasterCard
If paying with VISA please enter 3-digit V-code here:
 
Name on Card:
 
Credit Card Billing Zip Code:
 
     
Comments/Questions:
  
 

In order to submit your registration form, you must enter the following text into the password space below: 1791

(why is this necessary?)
     
*Required fields.
 

Once you submit this registration form, you will receive 2 emails: one as a receipt of this registration (please allow 2 - 3 business days to process) and a second email after the registration deadline of each workshop for which you registered to confirm the training site, date, and time.

If you do not receive either of these emails, PLEASE call the MARFY office at 410-312-3161, ext. 4. Registrants are responsible for ensuring that they receive registration confirmation. Once your registration is submitted, you will be billed or charged accordingly unless you follow the cancellation or transfer procedures as outlined in our training policies and procedures (click here to view).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disclaimer: Please note that credit card information will not be processed at this time,
but it is necessary to reserve registration if paying by credit card. Also note that this is not a
secure website, so if you choose to submit credit card information, you are doing so at your
own risk. If you would like to pay by credit card but do not want to enter your credit card
information here, please fill out the rest of the form and either call or fax your credit card
information in to MARFY at 410-974-4901, ext. 4 (phone) or 410-757-9530 (fax). (continue)

Password Explanation: Spambots (automated internet advertising machines that find forms such as this one online and fill them out with unsolicited advertisements) can only fill the form with their pre-set advertisements - they cannot read the text we require them to enter to proceed to the submission step of the form. The exact text indicated above must be entered for the form to submit. This security measure prohibits Spambots from sending us these unnecessary and unsolicited advertisements. If you've ever purchased anything through a website such as Ticketmaster, you've encountered a similar prohibitory measure. If you have any other questions or would like to learn how to institute this password measure on your agency's website, please contact us at www.marfy.org. (continue)

 

 

 

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7164 Columbia Gateway Drive, Ste. 210, Columbia, MD 21046
Ph: 410-312-3161, Fx: 410-312-3163, Em: marfy@marfy.org

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