Seating is limited to the first 70 registrations received

Pre-approved for CRC(pending), MFTLCSW

LPCC contact hours in all 7 content areas

Oakland State Building

1515 Clay Street, 2nd floor, Room 1/2

12th Street BART; local parking $10-20/day

Please see for specific LPCC details

We will start ON TIME - please arrive EARLY

NRA/NRCA MEMBER REGISTRATION

Name: ______Phone: ______

Address: ______

Email: ______

Enclosed is: $ ______NRA/NRCA Member #: ______

Do you need CEUs? Circle type(s):CRCLCSWMFT

Do you have any disability related needs? Please specify: ______

This chart applies to NRA and NRCA MEMBERS ONLY

Circle the day(s) on which you are attending

Title (CEUs); Instructor / Fall 2011 / …circle day(s): / EARLY / LATE
Circle fee(s)
Aging and Long-term care (10 hrs)
Dr. Paul / 8/4 & 8/5 / Both days / $75 / $100
8/4 or 8/5 / One day only / $50 / $75
Child Abuse Assessment (7 hrs)
M. Williamson, MSWpending / 8/12 / One day / $50 / $75
Spousal/Partner Abuse (15 hrs)
D. Newlin, MFT / 8/18 & 8/19 / Both days / $100 / $125
8/18 or 8/19 / One day only / $50 / $75
Human Sexuality (10 hrs)
Dr. Fee & Dr. Biggs / 8/25 & 8/26 / Both days / $75 / $100
8/25 or 8/26 / One day only / $50 / $75
Crisis and Trauma (15 hrs)
Dr. Paul / 9/8 & 9/9 / Both days / $100 / $125
9/8 or 9/9 / One day only / $50 / $75
CA Law and Ethics (6 hrs)
M.A. Conley, MFT / 9/16 / One day / $50 / $75
Chemical Dependency (15 hrs)
Dr. Brostrand / 9/22 & 9/23 / Both days / $100 / $125
9/22 or 9/23 / One day only / $50 / $75
…please write in YOUR TOTAL: / $ / $
The entire series / 12 days / $500 / $650

NON-MEMBER REGISTRATION

Name: ______Phone: ______

Address: ______

Email: ______

Enclosed is: $ ______NRA/NRCA Member #: use other side

Do you need CEUs? Circle type(s):CRCLCSWMFT

Do you have any disability related needs? Please specify: ______

This chart applies to NON-MEMBERS ONLY

Circle the day(s) you are attending

Title (CEUs); Instructor / Fall 2011 / …circle day(s): / EARLY / LATE
Circle fee(s)
Aging and long-term care (10 hrs)
Dr. Paul / 8/4 & 8/5 / Both days / $125 / $150
8/4 or 8/5 / One day only / $75 / $100
Child abuse assessment (7 hrs)
M. Williamson, MSWpending / 8/12 / One day / $75 / $100
Spousal/Partner Abuse(15 hrs)
D. Newlin, MFT / 8/18 & 8/19 / Both days / $150 / $175
8/18 or 8/19 / One day only / $75 / $100
Human sexuality (10 hrs)
Dr. Fee & Dr. Biggs / 8/25 & 8/26 / Both days / $125 / $150
8/25 or 8/26 / One day only / $75 / $100
Crisis and Trauma (15 hrs)
Dr. Paul / 9/8 & 9/9 / Both days / $150 / $175
9/8 or 9/9 / One day only / $75 / $100
CA law and ethics (6 hrs)
M. A. Conley, MFT / 9/16 / One day / $75 / $100
Chemical Dependency (15 hrs)
Dr. Brostrand / 9/22 & 9/23 / Both days / $150 / $175
9/22 or 9/23 / One day only / $75 / $100
...please write in YOUR TOTAL: / $ / $
The entire series / 12 days / $800 / $900