Antolino Family Wellness Center - Registration
Antolino Family Wellness Center - Dedicated to Family and Community Wellness
Registration

Registration Form
40 Hour Basic Core Training for Batterers' Intervention Programs
Name (as it will appear on certificate)
Address
City, State, Zip Code
Phone Number
Email Address
CAADAC Number
Registration Fees for 20-Hour Training
Other Fees
Comments
Full Five Day Training
Registration Fee paid in full by 6/1/12
Price: $275.00
Full Five Day Registration
Late Fee Registration paid after 6/2/12
Price: $325.00
One Day Registration
Training
Price: $125.00
CAADAC
CEU's
Price: $25.00
16-Hour
CEU's
Price: $250.00