19th-22nd February 2020 - Christchurch Externship with Heike McCahon Emotionally Focused Therapy Training

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Email *

Hif

What is your name? *

What is your phone number? *

Where do you live? *

Special Dietary Requirements *

Any other special requirements *

I am a member or applicant member of a recognised professional mental health organisation; or I am in training to become a qualified mental health practitioner *

Yes

Required

Name of organisation and date joined; or training provider and qualification being undertaken *

I agree to keep confidential the personal identifying information of case material shared in the training *

Yes

Required

I agree to not record any part of this training in any format (audio, video, or visual). Personal written notes of non-confidential material are permitted *

Yes

Required

Please select payment option and make payment to : NZCEFT 38-9018-0008423-00 *

YES, Early Bird payment has been made $1,150 (closes December 1st)

YES, Full Payment has been made $1,400

YES, Repeating Externship 50% payment has been made $700

Student fee/Low Income fee (please inquire BEFORE registering)

Required

Cancellation policy *

YES, I have read & agree to cancellation policy below

Cancellations

Are subject to a $50 administration fee and must be made in writing at least 8 days prior to the workshop date to qualify for a refund of the balance paid. If you cancel with less than 8 days’ notice, you will be refunded 50%. In the unlikely event of us having to cancel due to a lack of participants or other unforeseen circumstances, we will refund your paid workshop fees but are unable to reimburse you for further costs such as travel, airfares and accommodation.

TRANSFER OF REGISTRATION to another person: Registrations are transferable IN FULL to another person on notification. Where an attendee can only attend for part of training, transfer of the remainder of the registration to another person is not possible.

Thank you for your enrolment

If you require any further information please feel free to email: heike@christchurchcounselling.co.nz

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