WRAP Facilitator Registration

WRAP® Facilitator/Refresher Registration Form

Complete the form below to register for upcoming WRAP® Facilitator or Refresher training. We'll contact you to confirm your registration and provide next steps.

First Name *

Last Name *

Nickname or Preferred Name

Email Address *

Phone Number *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

County *

Which training are you registering for? *

How did you hear about this training? *

Are you a U.S. military service member or veteran? *

Yes

I have completed WRAP Seminar I and have my certificate *

Anything else you'd like us to know?

I have read and agree to the Cancellation/Refund Policy *

Signature (Type Your Full Name) *

WellSurgent

WRAP® Facilitator/Refresher Registration Form