Therapeutic Assault Prevention System
(Print this form on your computer to fax or mail to register)- Registration Form
- Trainer Certification Workshop ~ T.A.P.S.
Place of Employment: _______________________________________________
Address: ____________________________________________________
Business Phone: _______________________
Home Phone:_______________________
E-Mail address:_______________________
| (please circle) |
Money Order Agency P.O. Number |
- Workshop Fee: $450.00
- Early Registration: $425.00
- Please make checks payable to:
- Training & Consultation Initiatives
- Early registration applies to any date prior to two weeks before the date of the workshop. To qualify for this discount, a check or purchase order must be postmarked by September 22, 2011. Registrations postmarked after that date will be assessed the full workshop fee.
- There will be no refunds on verbal,
- electronic or written registrations.
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- taps@taps1.com
- If you have questions, call (740) 972-8141.