Training, Counseling, Substance Abuse & Anger Management    
  
 
 
 
 
 
 
Registration Form

 

(Print Exactly as you want it to appear on Certificate)


Select Workshop:

Augusta, GA

Atlanta, GA

Method of payment:

 


Credit Card No: (Example: 1234-1234-1234-1234)

(Example: 01/10)
     

Note: If paying by check please mail payment off to High Impact Training.

Hotel Map and and directions to the training site sent immediately upon receipt of registration.