Workshop: Emotion-Focused Ketamine-Assisted Psychotherapy
ONLINE LIVE STREAM EVENT
Dates: Monday, November 9, 2020
Time: 9 am - 4:30 pm ET (Convert to your Time Zone at:
https://www.timeanddate.com/worldclock/converter.html)
Location: Online Live Stream Event
Regular Cost: $225 CAD + 13% HST (=$254.25) after October 8, 2020
Registration Deadline: November 5 at 12 pm ET
*Group Rates available for groups of 5+ people registering together OR for individuals registering for more than one workshop. See
www.missionempowerment.ca/discounts for more information*
Important Notes:
1) Please ensure that your email address is entered correctly; the email address provided will be used to send the confirmation of registration, receipt, and any necessary communication regarding this registration.
2) Please note that the attendee names entered on this form will be used for the sign in sheet and certificates of completion, exactly as entered. Please be sure to capitalize the first letter in the first name and last name, otherwise there will no be capitals on the certificate.
**Note: This form is only for people who will be paying by E-TRANSFER (CAD bank accounts only). For those wishing to pay by credit card or Paypal, please go to the workshop page at
www.missionempowerment.ca and choose the correct option under the Registration heading.