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Last name *

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Street address *

Apartment, suite, unit, etc. (optional)

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State / County * Select an option…Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia

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Email address *

What is your current role?

How did you hear about us? *

I understand that it is a requirement of entry into the clinical program that I have successfully completed workshop 1

I understand I must complete all four workshops to received a certificate of completion for the clinical program

For PTPA members only, please quote your member number here:

I agree to attach below or email a copy of my undergraduate degree to info@playtherapytrainingaustralia.com.au as part of my registration.

Upload your certificate here (or email to info@playtherapytrainingaustralia.com.au) Select File or Drag & Drop