Workshop and Program
Pre-Registration Form

You may e-mail your registration information to VISIONS by completing the form below and clicking on the REGISTER button. This form is for registrants wishing to make payment by a check or money order.

Submitting this form will temporarily hold your space until we receive payment. Unless you make special arrangements with us, via the Arlington office, we must receive your check or money order at least one month in advance. Please make checks or money orders payable to VISIONS, Inc. and mail to:

VISIONS, Inc.
48 Juniper Street
Roxbury, MA 02119

Your registration is not complete until we have received payment. If you have any problems with this registration process or would like additional information, please click here or call the VISIONS office at (617) 541-4100 or (877) 689-3193.

Step 1. Registration Information

Please note: Your privacy is important to us. We are committed to keeping your information safe and secure. The information we collect is for our purposes only and will not be shared with any third parties.

Required fields are marked with * below.

*First name Middle initial

*Last name

Title

Organization

*Address

Address 2

*City

*State/Province

*Zip/Postal code

Country

Work Phone

Home Phone

FAX

*E-mail

Step 2. Workshop Selection:

Below, please select the appropriate workshop you wish to attend.

A Personal Approach to Multiculturalism:
Changing Racism and Other "Isms" Workshop

The Four-Day workshop fee is $795.00. Space is limited and we strongly urge early enrollment. Submission of a $395.00 deposit reserves a participant space and is due one month before the workshop. The remaining balance of $400.00 is due two weeks prior to the scheduled workshop. Requests for a payment plan, barter, or a scholarship may be made by contacting the Arlington office.

Boston, MA	July 17-20, 2007
Rocky Mount, NC	Mar 11-14, 2008
Boston, MA	Apr 15-18, 2008
Oakland, CA	Jun 17-20, 2008

Ongoing Multicultural Skill-Building Groups: Peer Supervision

Prerequisite: Each Peer Supervision module requires previous participation in a VISIONS training, either "A Personal Approach to Multiculturalism: Changing Racism and other Isms" (most preferably having completed Part I and Part II) and/or participation in an ongoing consultation with VISIONS at your workplace or community group. The fee for the various Peer Supervision Workshops can be found next to the corresponding workshop start date.

Submission of the program fee and contact with the VISIONS office reserves a participant space in one of the Peer Supervision modules. Registration is required one month before the modules first meeting. Requests for a payment plan, barter, or a scholarship may be made by contacting the Arlington office.

Boston Area Peer Supervision	Beginning Sept 7, 2007	$2,225
Boston Area Mini Peer Supervision, People of Color Group	Dates to be determined	TBD
New York Supervision	Beginning Sept 29, 2007	$1,650
California Peer Supervision	Beginning Oct. 28-29, 2007	$1,600
Cincinnati Peer Supervision	Discontinued for this year.

Cancellation Policy for Four-Day & Peer Supervision workshops: A registrant may cancel 30 days prior to the workshop and fees paid to date can be transferred to a future workshop within one year. If a registrant cancels over 14 and up to 30 days she/he will forfeit half of the program fee and the additional amount will be transferred to a future workshop within one year. If a registrant cancels with less than 14 days notice, VISIONS will consider all monies paid a tax-deductible donation and will issue a letter of contribution to the registrant. VISIONS may cancel a scheduled workshop one month in advance if registration is insufficient. In this case, all monies will be refunded.

Step 3. Form Submission

Please take a moment and review the information you provided above for accuracy. Be sure you have selected the correct workshop, location, and date.
After you submit this form we will contact you based on the information you provided.
You will hear from us in 3-5 business days.
Contact the VISIONS office for more information at 617-541-4100.

VISIONS, Inc.
48 Juniper Street
Roxbury, MA 02119
(617) 541-4100

Workshop and Program Pre-Registration Form

Workshop and Program
Pre-Registration Form