Group Consultation Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

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:
*

Clear form

Never submit passwords through Google Forms.

This form was created inside of Synergetic Play Therapy Institute. Report Abuse

Forms