Cheaspeake Beach Professional Seminars
Online Registration Form


Name:  		Employer: 
 Address:  City:  State:  Zip: 
Phone (Home):  Phone (Cell):  Email: 

I would like to register for the Registered Play Therapy Trainings as follows:

   TRACK A:  Full RPT Training - 150 hrs. for $2500.00 (Total for Payment Plan is $2525.00)

           Full pay now with check/money order ($2500.00 - must be received by 1st training on Sept. 24th)

           Full pay now using credit card information shown below ($2500.00)

            Pay in monthly installments using check/money order (**See payment schedule below.  Reminder statements will be emailed the last week of the month prior to payment due dates.)

            Pay in monthly installments using credit card information shown below (**See payment processing schedule below.)

**PAYMENT PROCESSING SCHEDULE: 1st payment of $350 will be processed upon receipt of registration, followed by 14 monthly payments of $150 each to be processed the 1st week of each month, and a final payment of $75 to be processed the first week of December, 2011.

TRACK B:  Select the workshops you plan to attend below and choose one of the following payment options:

Full pay now with check/money order

Full pay now using credit card information shown below (total amount due will be charged to credit card information below)

Pay for each workshop with check/money order (each payment must be received at least 2 weeks prior to workshop date shown below) 

Pay for each workshop with credit card (payment for each workshop will be processed 2 weeks prior to workshop date using credit card information below)

I would like to register for the following workshop(s):

 


CREDIT CARD PAYMENTS:
To pay by credit card please call the Office at 410-535-4942
CHECKS & MONEY ORDERS:

Please make checks payable to:

CBPS
(Chesapeake Beach Professional Seminars)

                  Mailing Address:

                  Chesapeake Beach Professional Seminars
                  3555 Pond Woods Drive
                  Chesapeake, MD 20732 

 Continuing Education Units

Six CEUs per day for didactic sessions.
CBPS is approved by: the Maryland Board of Social Work Examiners to sponsor Category I CE programs, the National Board of Certified Counselors (NBCC provider #5763); the Board of Behavioral Sciences in CA to offer CEUs for MFCCC and LCSWs (Approval #PCE 1466); MD Board of psychologists to sponsor Category A CE programs for psychologists. CBPS maintains responsibility for these programs. VA and WDC accept CEUs from MD. Approved by APT to offer training specific to play therapy. APT provider # 97-03.

Cancellation Policy

Written cancellation must be received in our office at least ten (10) working days prior to the training, $15.00 is retained for processing.  Otherwise, a voucher will be given.  If you do not cancel in advance, you will not receive a refund or credit.  We reserve the right to reschedule a class due to inclement weather.  Please listen to the telephone recording to determine cancellation.  We also reserve the right to substitute faculty.

Office: 410-535-4942 | Fax: 410-414-9902 | Email: info@cbpseminars.org | Web: www.cbpseminars.org