Workshop Registration

Workshop Registration Please complete this form and submit it to the TIR Institute of Maine.
TO REGISTER USING A CREDIT CARD for the TIR FOR CHILDREN WORKSHOP GO TO TIRC.Eventbrite.com

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

SELECT WORKSHOP(S) AND DATES *

TIR for Children prerequisite: Choose from drop down box *

SELECT PAYMENT *

TIR Workshop: Check or money order for $497 ($447 if registered 30 days before workshop date) **TIR for Children Workshop: Check or money order for $297 ($247 and FREE book "Children And Traumatic Incident Reduction" if registered and paid 30 days before workshop start date) **Both workshops: Check or money order for $747 ($647 if registered and paid 30 days before workshop start date . BONUS: ALSO get a FREE book "Children And Traumatic Incident Reduction" Other (please explain in comment box below)

Comment *

-**The 4-day TIR Workshop must be taken prior to the TIR for Children Workshop

Please write out your check or money order to: TIR Institute of Maine and send to:
TIR Institute of Maine
PO Box 2
Smithfield, ME 04978

SUBMIT or print to mail or fax. Fax to 207-362-6111. Send payment to address above.

SUBMIT

Workshop Registration Please complete this form and submit it to the TIR Institute of Maine. TO REGISTER USING A CREDIT CARD for the TIR FOR CHILDREN WORKSHOP GO TO TIRC.Eventbrite.com

-﻿﻿**﻿﻿The 4-day TIR Workshop must be taken prior to the TIR for Children Workshop

Workshop Registration Please complete this form and submit it to the TIR Institute of Maine.
TO REGISTER USING A CREDIT CARD for the TIR FOR CHILDREN WORKSHOP GO TO TIRC.Eventbrite.com

-**The 4-day TIR Workshop must be taken prior to the TIR for Children Workshop