Registration Information

International Adoption Center

Post Adoption Parenting
Workshops 2008

Unless otherwise indicated each workshop will be held at the International Adoption Center

All Classes are from 7pm to 9 pm (EST).

Check session you wish to attend:

 February 18, 2008. Adoption Through the Eyes of Children: Debbie Riley, MS.
 March 17, 2008. A Window into Your Heart: Anne Fleury, MSW & Mari Itzkokwitz, MSW.
 April 30, 2008. Potty Training: Maria Zimmetti, Ph.D.
 May 19, 2008. Attachment: Susan Alvarado, LPC, PLLC & Marianne Heilferty, LCSW.

 One person $25  Two people $ 35

Name(s): ___________________________________________

___________________________________________________

Address ____________________________________________

___________________________________________________

Phone (____) ________________

Email address: _______________________________________

Check Enclosed Payable to: International Adoption Center

Credit Card: Visa Mastercard Discover American Express

Credit Card Number: __________________________

Signature:____________________________________________________

Expiration Date: ________________
(Payments are processed the day before class begins and
no refunds will be issued at that time)

Please complete the following to help us tailor the class to your needs:

What age was your child at adoption: __________________

What age is your child now: ________________________

What country was your child adopted from: ________________

PREREGISTRATION IS REQUIRED AS SPACE IS LIMITED

Workshops must have a minimum of 10 participants to be held.

CALL 703-970-2651, FAX (703-970-2620) OR

E-MAIL (international.adoption@inova.org)

THIS FORM TO RESERVE YOUR SPACE

Please Print this page and send with payment to:

International Adoption Center
Attn. Preadoption Conference
8505 Arlington Blvd.,
Suite 100
Fairfax, VA 22030

You will receive confirmation of your class by email only.

A course reminder will be sent to you by email one week prior to the course with directions to the course site.