KC Play Seminar Registration Form
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As the sole owner of the information collected on this site, KCPlay.com will not sell, share or rent this information to third parties for any reason whatsoever.

*Name:

*Address:

Address: (cont.)

*City:

*State:

*Zip:

*Day Phone:

Evening Phone:

FAX:

*E-mail: We will send a confirmation via email

Employed at:

*Which training session are you registering for: Hold the 'Ctrl' key down to make multiple selections

Additional Comments:
List Cert Program or Video class title here

* indicates a required field
Please note: You are not guaranteed a seat until payment or purchase order is received. Payment completes your registration process and will be confirmed via email. Please make certain payments are clearly marked with registrant's name and date of training. We process hundreds of payments & registrations and cannot go through all our records to match up payments with registrations. Please insure your payment is marked with the information requested or send a copy of this printed registration form with payment.

Payments should be mailed to our office:

KC Play Therapy, 8015-B Sante Fe, Overland Park, KS 66204

PACKAGE DELIVERIES ONLY go to: 7850 Haskell Dr., K. C., KS 66109

Cancellation policy: KC Play Therapy, LLC, requires in writing at least 14 days notice (prior to training date) of cancellation of registration. Cancellations received in writing 14 days prior to training date will receive a refund less a $30 administrative fee OR registrant may choose to receive a credit equal to registration fee minus $20 administration fee. Credits issued are only good through the end of the calendar year in which they are issued and no extensions can be provided. Cancellations received less than 14 days prior to training date will received no refund or credit and no exceptions will be made to this policy.

Some trainings and conferences may have special cancellation policies which differ from above. These will be stated on printed brochures for these events and are available from KC Play Therapy by request.

		When you click the submit button, an e-mail will be sent to me at denise@kcplay.com
.

Or if you prefer, you can pay online with Paypal. Please add 4% of total to cover Paypal fees. YOU have to add the fee, Paypal does NOT add it automatically.
Be sure and add in the comment section which training session you are paying for.

KC Play Therapy Institute
913-406-3059

*Name:
*Address:
Address: (cont.)
*City:
*State:
*Zip:
*Day Phone:
Evening Phone:
FAX:
*E-mail:	We will send a confirmation via email
Employed at:

*Which training session are you registering for:	Hold the 'Ctrl' key down to make multiple selections
*Additional Comments:*	List Cert Program or Video class title here
	* indicates a required field Please note: You are not guaranteed a seat until payment or purchase order is received. Payment completes your registration process and will be confirmed via email. Please make certain payments are clearly marked with registrant's name and date of training. We process hundreds of payments & registrations and cannot go through all our records to match up payments with registrations. Please insure your payment is marked with the information requested or send a copy of this printed registration form with payment. Payments should be mailed to our office: KC Play Therapy, 8015-B Sante Fe, Overland Park, KS 66204 PACKAGE DELIVERIES ONLY go to: 7850 Haskell Dr., K. C., KS 66109 Cancellation policy: KC Play Therapy, LLC, requires in writing at least 14 days notice (prior to training date) of cancellation of registration. Cancellations received in writing 14 days prior to training date will receive a refund less a $30 administrative fee OR registrant may choose to receive a credit equal to registration fee minus $20 administration fee. Credits issued are only good through the end of the calendar year in which they are issued and no extensions can be provided. Cancellations received less than 14 days prior to training date will received no refund or credit and no exceptions will be made to this policy. Some trainings and conferences may have special cancellation policies which differ from above. These will be stated on printed brochures for these events and are available from KC Play Therapy by request.

KC Play Seminar Registration Form Home

KC Play Seminar Registration Form
Home