Registration Form

Register me for the following workshops:

Family Law for the Mental Health Professional (9:00am - 12:00pm)	March 21, 2007	$60; APN: $45
Stealing the Lives of Our Youth: Marijuana Abuse and Addiction in Adolescence (9:30am - 12:00pm)	April 19, 2007	$40; APN: $30
Walking into the Lion's Den: The Challenge of Working with Youth with Co-Occurring Disorders (1:00 - 3:30pm)	April 19, 2007	$40; APN: $30
Nurturing Clients' Grief and Loss Processes (9:00am-12:15pm)	May 2, 2007	$60; APN: $45
The Role of Spirituality in Mental Health: Case Examples (1:30 - 4:45pm)	May 2, 2007	$60; APN: $45
Addiction as a Brain Disease: Implications for Treatment (9:00am - 12:30pm)	May 24, 2007	$60; APN: $45

Name

Organization

Address

City

State

Zip

Phone

e-mail address

Payment Method

Check payable to Compass Health is enclosed.

Purchase Order is enclosed.

Charge to: MasterCard VISA

Card Number:

Expiration Date:

Signature

Return the completed form, along with your check or purchase order, made payable to Compass Health, to:

Ellen McKinney

Compass Health

PO Box 3810, MS 49

Everett WA 98203-8810

FAX: 425-349-8496

Written confirmation and driving directions to the workshop location will be mailed to you upon receipt of your paid registration. Cancellation reuqests must be made in writing and received no later than five days prior to the event. A $10.00 per person administrative processing charge will be deducted. No refund will be given for cancellations of less than five days notice.

I heard about this workshop through:

The Workshop Calendar

Direct Mail

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