2014 Trauma Center Summer Training Institute Registration Form

How to Register

To register online, please fill out the form below and fax to (617) 232-1280 or mail to: Zach Levko, The Trauma Center at JRI, 1269 Beacon Street, Brookline, MA 02446. We will hold a space for three (3) business days, pending receipt of your payment.

Register by Mail

To register by mail, please print out the form below and send it with a check payable to “The Trauma Center at JRI”, Attn: Zach Levko, 1269 Beacon Street, Brookline, MA 02446. Registration will be confirmed when payment is received. Space is limited, and registration will be on a first come, first served basis.


Registration Form

Personal Information:


Name:
Degree/Licensure:
Email Address:
Work Phone:
Home/Other Phone:
Street Address:


UPCOMING EVENTSVIEW ALL>>

SPECIAL TRAINING: September 5-7, 2014 plus additional dates: Trauma Sensitive Yoga: A 110-hour Certification Program for Yoga Teachers

MORE INFO>>

WORKSHOP: October 26-31, 2014: Teaching Trauma-Sensitive Yoga: A Workshop for Yoga Teachers

MORE INFO>>

SAVE THE DATES: 26th Annual International Trauma Conference, Boston MA, May 27-30, 2015

MORE INFO>>

SAVE THE DATES: 3rd Annual Summer Training Institute, Cape Cod MA, July 20-24, 2015

MORE INFO>>