Healthy Steps to Freedom (HSF) – Registration 8.4.1

Name*
First Last
Credentials*
Agency/Organization*
Current Position*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
State Where You Work:*
Mobile Phone Number*
(MPATTC Staff & Consultants will be sending weekly SMS text messages related to course content (learning extenders). By inputting your phone number, you consent to receive text messages sent through an automatic telephone dialing system.)
Email Address*
(By providing your email address, you will automatically be added to the Mountain Plains ATTC listserv; to opt-out, please contact Trisha Dudkowski at mpattc@casat.org)
Enter Email Confirm Email
Password*
Enter Password Confirm Password

Strength indicator
How did you learn about this event:*
What do you hope to learn by taking the Healthy Steps to Freedom: Enhancing Treatment/Recovery Services for Women EPL Series?*
By checking here you are indicating that you understand the pre-requisite and technology requirements as well as the time commitment to participate in this training.*
- ▪ I understand the time commitment involved and agree to fully participate.