Booking for workshop: Shame Regulation Therapy for Families

Dates & Cost:

30th April & 1st May 2019

£265 + VAT = £318

**Price includes full catering**

Venue:

Elm Grove Conference Centre
Roehampton Lane
London 
SW15 5PH 
Location & Details 

Type

Specialist Seminar

Additional Info

9am for 9.30am start.
4.30pm finish.
1 hour lunch break

Presenter

Dr. Uri Weinblatt

Book 2 or more workshops and get 10% off total cost

(workshops must be booked at the same time)

Booking for workshop:
Shame Regulation Therapy for Families. Systemic Mirroring and Nonviolence.

A 2-day workshop with Uri Weinblatt from Tel Aviv

Please fill in this application form as fully as possible to ensure you meet the eligibility criteria outlined to attend this workshop.

Who Is This For?

This workshop is designed for social workers, therapists, counsellors, or other mental health professionals who deal with difficulties in attachment or severe behaviour problems. It is especially relevant for professionals who work with adopted children and their families, with foster carers and looked after children, or who work with families in which there have been histories of child- or parent maltreatment.

I wish to book a place for the workshop "Shame"

Please confirm you have read the details and terms and conditions:
I have read the programme details Read them here
I accept the terms and conditions Read them here

Full name

Organisation (please put None if this is not applicable)

Job Title

Qualifications

Experience of working with families

Current area of work

Invoicing Address (if you are making payment yourself, please give your home address)

Postcode

Invoicing Email – please put your own email if you are paying yourself

Applicant contact email (if different from invoice email)

Retype Applicant contact email

Phone

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Notes or special requirements

Payment

Cost of the workshop: £265.00 + VAT = £318.00

How do you wish to pay?
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If you wish to pay by PayPal, please note that there will be an additional booking fee charged by PayPal themselves. Please visit the fee calculator to see what this is likely to be. Once we have received your booking form – we will be in touch to let you know the total fee (including the PayPal fee and VAT) and how to make payment.

Purchase order number (required for invoicing)

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Please be aware that submission of this application does not constitute a confirmed booking or a place on the training course. Your application will be assessed for eligibility and a place will be reserved for you if this is met. We will be in touch shortly to advise the outcome of your application and let you know how to make payment. Once full payment is received your place will be confirmed.

Full joining instructions will be sent approx. 2 weeks prior to the start of the training. In the meantime all information you should need is listed on our website, including: location, venue, dates and times of training.