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* 1. What is your first and last name?

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* 2. I am attending the following 3.5 Day Online Retreat: 

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* 3. I understand that I must have a mental health degree in order to receive continuing education credits from the Association for Play Therapy or for the Australian Play Therapy Association. For questions regarding eligibility to receive credits from the Associations please contact them directly.

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* 4. I understand that I will be receiving consultation during this course and that this consultation does not take the place of my primary supervision for my cases.  And, I understand that the information shared in consultation is for educational and information purposes only and does not constitute legal advice.




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* 5. I agree to maintain current malpractice insurance during the course of this program and while under consultation at SPTI. I agree to adhere to all guidelines outlined by the governing boards under which I practice.

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* 6. I understand the following Consultation cancellation/no-show policy: If you have to miss your consultation, please contact your Consultant at least 48 hours and let them know in advance. Your consultations are required as a part of the program.

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* 7. I agree to the following refund policy: Full refund (minus cost of any pre-Certification supervisions that may have occurred + a $100 administrative fee) if cancellation is before 6-weeks from the start of your first retreat. Cancellations after this time and 6-weeks before the start of the first retreat will forfeit cost of any pre-Certification supervisions + $500 (USD) or $600 (AUD). Cancellations once the class begins will forfeit the full payment of the course. If an emergency situation arises, please contact the Synergetic Play Therapy Institute to discuss the situation.

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* 8. I understand that the content viewed and links shared  in this virtual-web based course is for  personal and non-commercial use. Please know that you are not permitted to view the content of this virtual course with any person regardless of work, personal or family relation unless authorized in writing by SPTI.  

I understand that I am not permitted to record, copy in any way, distribue, transmit, display, reproduce, duplicate, publish, license, create derivative works from, or offer for sale any information and/or computer link contained on, or obtained from or through the Synergetic Play Therapy Institute.

I understand that I will be watching videos of client sessions in this course. I agree to not videotape or take photos of the client sessions and to respect confidentiality.

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