North Shore Wellness Services, Ltd. - CEU Registration

3000 Dundee Road, Suite 411-412, Northbrook IL, 60062
(847) 205-0371

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Registration - Classes and Workshops

First Name:

Last Name:

Address:

City:

State: ZIP:

Phone:

Email:

License No.:
(if available)

Select a series or mix & match your own schedule...

Select your classes by clicking the box next to your desired dates. If you can not check the box the class is sold out.

If your first choice is closed, select another option and indicate in the "Comments" box your wish to be added to a wait list for your first choice. You will be contacted if space in your first choice becomes available.

Submit the form by clicking the "submit" button at the bottom of the page.

Counseling Supervision Training Program
Series 1 - September & October 2008. $50 per class.

Complete Series

Selected Classes

Class	501	502	503	504	505	506
Date	Sat 9/13/08	Sat 9/20/08	Sat 9/27/08	Sat 10/4/08	Sat 10/11/08	Sat 10/18/08
Time	9-12pm	9-12pm	9-12pm	9-12pm	9-12pm	9-12pm

Number of Attendees:

Names of Additional Attendees:

Comments:

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North Shore Wellness Services, Ltd. 3000 Dundee Road, Suite 411-412, Northbrook IL 60062 phone: (847) 205-0371 fax: (847) 205-0377 © copyright North Shore Wellness Services, Ltd. an Illinois company, 2007