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Registration form for Schools That Heal 2025-26,
Registration form for Schools That Heal 2025-26,
Schools That Heal
Enrollment Form for the 2025-26 School Year
Registration
April 12th -June 1st
Name of Your School:
__________________________________________________________________
School
Address__________________________________________________________
_
School Phone
Number___________________________________________________________
Your Name and
Position__________________________________________________________
Your Email
Address__________________________________________________________
Please check the Services You Wish to Offer to Your School
Community:
Child Well-Being Seminars _______$6500 (Five Levels 1 seminars and
three Level 2 seminars) ( Includes Directors Forum.)
Author in Residence* _______$25,000 (pay half now, half Jan. 2025)
Check re: availability first!
3 On-site Consultations, or 3 Parent Community Talks (or combo)-
$875 per onsite event=$2625
Total Cost. ________
Please check preferred payment method:
Check____ Zelle_____ write check to “Networks for Schools That Heal”
Zelle to koplow.schoolsthatheal@gmail.com or phone number below
Email form to lesley@schoolsthatheal.net
Or send form and check to Networks for Schools That Heal
c/o Lesley Koplow
865 West End Ave 5D NY NY 10025
Want to Zelle? Use email LSKLCSW@icloud.com
Questions? Call 646-303-9938
* Availability limited! Check with Lesley Koplow to make sure your school can
be accommodated!
* *Seminar Dates Will be Finalized in the Spring
FILL OUT THE FORM AND FOLLOW DIRECTIONS
*Enrollment Form STH
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