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EBP Learning Community Enrollment

The 2009 EBP Learning Community is now taking enrollments. We'd love to have you! Before you register, please review the consent form to make sure the group will meet your needs.  (Please write Kelly Koerner, the community facilitator, with any questions about participation.)  If you would like to participate, please fill in the form below and then proceed to check out to complete your registration.

* Required fields
Name *
E-mail Address *
Confirm Email Address *
Mailing Address
City, State, Zip
Phone Number
Professional Degree(s) *
Please briefly describe your experience/training with EBPs *
I have read and understood the consent form and agree to comply with the learning community's terms of participation *
Payment Method * I will be paying via Paypal through the shopping cart.
I will be mailing a check.

I have read and agree to the Privacy Policy *

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