2023 Communicare Exclusive Registration Form Your Name* First Last Supervisor's Name First Last License/Credentials* Occupation* Phone*Email* Please select the training(s) you will be attending: Domestic Violence for Mental Health Providers (01/19/23) Pediatric Abusive Head Trauma (01/19/23) Understanding Suicide-Assessment & Mgmt. (01/20/23) Play Therapy 101 (01/27/23) Dialectical Behavioral Therapy (DBT) Basics (02/10/23) Trauma Informed Practice with Children and Adolescents (02/17/23) Continuing Education needed (you may choose more than one): Counseling Marriage and Family Therapist Psychology Social Work N/A - I'm a Student Other If other, please list here* Any special accommodations needed or other information you would like us to know?May we add you to our mailing list so you can be updated on other upcoming trainings and happenings at Brighter Futures Counseling?* Yes, please! No, thanks. CommentsThis field is for validation purposes and should be left unchanged.