Group Consultation Request

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Welcome to the October 2023 Online Introduction to Synergetic Play Therapy Course. This short form will help us get to know you better and find a group for you to join in order to meet the group consultation requirement of this course.

Email *

If your preferred email address differs from above, please enter below:

Please enter your first and last name: *

What is your highest level of post secondary education and credentials?
*

If you reside in the US, are you a Registered Play Therapist (RPT)?
*

How many years of experience do you have in the mental health field in general?
*

How many years of experience do you have in the play therapy field and what modalities of play therapy have you studied?
*

Have you taken any other courses or workshops specific to Synergetic Play Therapy through the Synergetic Play Therapy Institute? If so, please list below:
*

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