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Click ‘Get Form’ to open the 5th Annual Youth Spring Seminar registration form in the editor.
Begin by entering your personal information in the designated fields: Name, Credentials, Organization/Agency, Address, City, State, Zip, Phone Number, and Email Address. Ensure all details are accurate for a smooth registration process.
Select your payment method by checking the appropriate box. Options include Credit Card (Visa, MasterCard, American Express, Discover), Check (made payable to MUSC Psychiatry), Cash, IIT, or Purchase Order. If using a credit card, fill in the card number and expiration date.
Indicate the type(s) of credit you wish to receive by selecting from the options provided for Social Workers, LPCs, LMFTs, LPES, and Psychologists.
If you have any special needs or comments regarding dietary or physical requirements, please enter them in the designated section at the bottom of the form.
Once completed, return the form with payment to Caitlin Norfleet at MUSC Psychiatry and Behavioral Sciences using the address provided.
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