Improving Human Relationships: The Adlerian Perspective

Registration Form

 A three-day workshop with Dr. Wes Wingett

Queen’s House – 610 Taylor Street West,  Saskatoon, SK

Cost :  Three-day rates: Non-members $235; SAS members $220; Facilitators, SAS Board members, Cont'.Ed.Com. Members $210

Daily rates: (Lunch is included) Non-members $95; SAS Members $90; Facilitators, SAS Board members, Cont'.Ed.Com. Members $85

Registration Form for Improving Human Relationships: The Adlerian Perspective

Registration deadline: September 4th, 2008                        Space is limited - Register early

Cancellation within 72 hours: no refund. Cancellation more then 72 hours prior to workshop: refund of all except $25.

Please circle the dates you will be attending and the rate you qualify for.

I would like to register for the specified days:                 

__Sept. 11th - Understanding Families                                                                             __ I am a member

__ Sept. 12th - Counseling Families                                                                                  __ I am a Facilitator, Board Member or CEC

__ Sept. 13th - Understanding the Responses of Families to Loss and Grief                  __ I am not a member

__ I would like register for all three days                                 __ Please check this box if you are applying workshop hours toward the

                                                                                                       100 Hour Studies Certificate

Full Conference Rate (All three days):

Non-members $235; SAS members $220; Facilitators, SAS Board members, Cont'.Ed.Com. Members $210

Name: _____________________________Address: _________________________________

City/Town: ____________________________ Province: __________  Postal Code: __________E-mail:_______________________

Residence Phone: ___________________________ Other Phone: ______________ Name for Receipt _____________________

Method of payment (select one)

__My cheque is enclosed and payable to Saskatoon Adlerian Society     __Master Card        __Visa        __American Express

Card #________________________________  expiry date_________    Signature___________________________     Date___________  

I have enclosed my cheque payable to Saskatoon Adlerian Society for the total of :

TOTAL ENCLOSED           ____________

I wish to apply these workshop hours to the SAS 100-Hour Adlerian Studies Certificate:       Yes ___No___

Please return payment with this form to Saskatoon Adlerian Society at Box 23045, Saskatoon, SK, S7J 5H3

For more information, please call Tianna: (306) 382-3697