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Georgia Conference on Children & Families
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First name
Last name
Email
Phone
Job Title
Organization
Affiliation
-- Please Select --
Private Provider
Ga. Department of Behavioral Health & Developmental Disabilities
Ga. DHS/Division of Family & Children Services
Ga. Department of Juvenile Justice
Court Apppointed Special Advocate
Attorney
Other
Other
Professional License Type
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Ga. MFT
Ga. LPCA
Ga. MSW
Ga. CSW
N/A
Professional License Number
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Full Conference – Early Bird Rate (register by September 12): $350
Full Conference – Full Rate (registrations after September 12): $395
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