AT THE END OF THIS FORM, YOU WILL BE ASKED TO SUBMIT YOUR ELECTRONIC PAYMENT.
PLEASE BE PREPARED TO PAY.

Thank you for your interest in attending the September 15 – 19, 2025 Thinking for a
Change Facilitator’s Training. Please fill out this registration form to get registered. Your registration will not be complete until payment has been received. Please review the Thinking for a Change Fidelity Checklist and Payment, Refund, and Cancelation policy before registering.

Cost: $750.00

Training Location:
Oregon State Library
250 Winter St. NE/Conf Rm 103
Salem, Oregon 97301

If registering more than one person, a separate form needs to be complete for each registrant.

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Job Title/Role *

Organization *

Address Line 1

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Attendee’s Address *

Address Line 1

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Methods requires group/program

Attendee’s Email *

Phone Number *

How are you and/or organization considering implementing the Thinking for a Change group/program after the training? *

What population are you planning to serve with this program? *

• Youth
• Adult
• Both

Do you have a disability that requires an accommodation during the training? *

• Yes
• No

If you indicated yes above, please explain accommodations required. *

Payment MethodsSelect Payment MethodCardCheck

Please acknowledge that you have read and that you understand the following Payment, Cancellation, and Refund policy. Payment, Cancellation and Refund Policy Payments. The cost of this training course is $750.00. Enrollment is not complete or reserved without payment. Early Cancellations. You may cancel an individual registration and receive a full refund, less a $50 processing charge, provided you cancel at least 10 calendar days in advance of the start date of the training. To cancel your enrollment, you must contact: info@truenorththought.com. Refunds will be issued to the payor of record. Late cancellations. If you cancel fewer than 10 calendar days before the class, you must, within 12 months, register for and attend another class; otherwise, all payments are forfeited to The Pace Institute. No shows. There is a non-refundable no show-fee. In the case of a no-show, the course fee will not be refunded. Incomplete course completions. There is a non-refundable fee for incomplete course completions. In the case that you begin this course and do not complete it, the course fee will not be refunded. *

• Yes, I Acknowledge

Please acknowledge that you understand that a certificate of completion will only be provided if you attend the entire training. *

• Yes, I Acknowledge

Click to proceed to pay