Registration | Family Institute of Westchester

Please use the Workshop Registration form below to register for either one or multiple courses. If you hold a degree in Social Work of Marriage and Family Therapy, please include your license number on all documents. FIW Alumni, please click the Alumni box below. Please call our office at (914)-777-3909 to register if you do not have the most current version on your browser.

For Cancellations: Cancel up to 2 weeks before event for a refund fee, minus $25.00 administrative charge; Less than 2 weeks, credit applied towards a future workshop.

Personal Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Professional Information

Agency

Professional Title

Degree / License Number

FIW Alumni

I am an FIW alumni

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FIW Alumni

I am not an FIW alumni

Select Courses(Required)

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Alumni Calculation(Required)

Please enter a number greater than or equal to 0.

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Non-Alumni Calculation(Required)

Please enter a number greater than or equal to 0.

Alumni Subtotal(Required)

Price: $0.00

Non-Alumni Subtotal(Required)

Price: $0.00

We welcome your payment either via PayPal or by check.
If paying by check, please make payable to "Family Institute of Westchester" and mail to:

333 Westchester Avenue
Suite E106
White Plains, NY 10604

Payment Method

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