Schedule a Training

Fill out the form below to schedule a training for your organization. If you are unsure about which training best fits your program, just fill out the contact & organization section and we will get back to you shortly.

Your Information

First Name: *

Last Name: *

Title:

Organization: *

Phone:

Email: *

Training Information

Training Title: Power of Play: Pre-KPower of Play: ElementaryPower of Play: Middle SchoolPro-active Group Management (GM1)Working with Challenging Behavior (GM2)Recess ImplementationRecess 360

Technical Assistance:

Technical assistance requested (On-site coaching, modeling and training)

Number of participants: * select...101112131415161718192021222324252627282930

Primary age of youth served: select...Pre-KElementaryMiddle SchoolHigh School

Requested Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year200920102011201220132014201520162017201820192020

Secondary Date:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year200920102011201220132014201520162017201820192020

Training Site Details

Type of space: select...GymAuditoriumLarge, Multi-purposeOther (please explain)

Other:

On-site contact:

Address:

City:

State: select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code:

Phone:

Other Information

Comments:

I found out about these trainings from: * select...Playworks websitePlayOn ConferencePrevious Training (specify below)Media Source (specify below)Playworks staff member (specify below)Other (specify below)

Referred by: