REGISTRATION
FORM
Saturday, September 20-
Sunday, September 21, 2008
An Advanced Workshop
with Ernest Rossi, Ph.D.:
Creativity, Neuroplasticity
and Therapeutic Hypnosis
14 Continuing Education Hours
Courtyard Marriott in Sherman Oaks, CA
15433 Ventura Blvd, Sherman Oaks, CA 91403
Date: Saturday, September 20, 2008-Sunday,
September 21, 2008
Time: Registration 8:30 AM, Program 9 AM -5 PM
____________________________________________________________________________________ |
| Name/Degree
(please print) |
Email Address
|
_____________________________________________________________________________________ |
| Address
|
Phone
(include area code) |
_____________________________________________________________________________________ |
| City,
State & ZIP |
License
Number |
| |
Saturday, September 20-
Sunday, September 21, 2008 |
| |
14 Continuing Education Hours |
| |
|
| |
|
| SCSCH/ASCH/LACPA/CAMFT
members |
___
$280
|
|
Non-Member
Fee |
___
$420
|
Interns,
residents and students
(with school ID) |
___
$160
|
Make check
payable to: SCSCH
Mail to: SCSCH,
c/o Marion
Arom, Ph.D.,1125 S. Beverly Drive, Suite 401,
Los Angeles,
CA
90035
<<
Back to Events
|
Southern
California Society of Clinical Hypnosis
Telephone 1-888-32-SCSCH
c/o
Marion Arom, Ph.D.,1125 S. Beverly Drive, Suite 401,
Los Angeles,
CA
90035
e-mail: Administrator@scsch.org
|
