PARENTING COACH CERTIFICATION REGISTRATION FORM – Weekend Intensive

Today’s Date: ______________ Course Date: April 8, 9, 10, 2016

Name: __________________________________________

Address: ________________________________________

Email: _______________________ Phone: _____________

Credit Card Number: _______________________________

Expiration Date:___________________________________

Educational Background:

______________________________________________________________________________

______________________________________________________________________________

Current Work: ______________________________________________________________________________

______________________________________________________________________________

How did you find out about the Parenting Coach Certification Course?

_____________________________________________________________________________
You will receive 15 CEUs for your attendance at the weekend intensive. A shuttle will take you both ways from the Roseville, MN Holiday Inn Express (2715 Long Lake Rd, Roseville, MN 55113. Call to reserve your room and mention Center for the Challenging Child for the discount: 651- 636-5800) to the U of M Continuing Education and Conference Center,1890 Buford St., St. Paul, for the training. Please email this form to Tina Feigal, tina@parentingmojo.com. Fee is $299 for the weekend.

Schedule for the Weekend Intensive
Day I: April 8, 2016
1:00p-1:30 Introductions, welcome, orientation Tina Feigal
1:30p-3p Grief, Loss and Trauma TBA
3:15p-3:30 Break
3:30p-4:15 Grief, Loss, Trauma
Professional Use of Self & Vicarious Trauma TBA
4:15p-4:30 Wrap-up, Questions, Planning Tina Feigal
6:30p-8:30 Axel’s Restaurant, Roseville, MN Networking Event (heavy hors d’oeuvres) All

Day II: April 9, 2016
8:30a-9:00 Welcome, De-brief, Questions
9:00-10:00 Fill in topic Tina Feigal
10:00a-10:15 Break
10:15-11:15 Coaching Session I (Introduction Session) Tina Feigal
11:15-12noon De-Brief Session I with Coach and Parents
12noon-1:00 Lunch
1:00-2:00 Coaching Session II Tina Feigal
2:00p-2:45 De-Brief Session II with Coach and Parents
2:45p-3:00 Break
3:00p-4:00 Coaching Session III Tina Feigal
4:00-4:45 De-Brief Session III with Coach and Parents
4:45p-5:00 Wrap-up, Questions, Planning

Day III: April 10, 2016
8:30a-9:00 Welcome, De-brief, Questions Tina Feigal
9:00a-10:30 Breakout/Role Plays/Scenarios Tina Feigal
10:30a-10:45 Break
10:45-11:45 Group Debriefing on Practice Coaching Tina Feigal
11:45-12:30 Importance of Coaching/Wrap-up, Next Steps Tina Feigal

Leave a Reply