Artful Mediator Series Workshop Registration| Champlain College

The Artful Mediator Series

To register for any of the Artful Mediator modules, please complete the form below and follow the prompts for payment.

Refund Policy
A refund can be issued up to fifteen business days prior to the start of the program. After this date, refunds can not be issued.

First Name: *
Program: *
Last Name: *
Organization: *
Job Title: *
Mailing Address: *
City: *
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Zip Code: *
Contact Phone Number: *
Email: *	(all correspondence related to this course will be sent to this address)
Where did you hear about this Mediation training?:

Registering for (Select program first!):
	Regular Registration - $0
	Non-Profit Registration - $0

Total: $0.00