American Society of Clinical Hypnosis

Education and Research Foundation

61st Annual Scientific Meeting and Workshops

  March 28-31, 2019 • Hyatt Regency San Antonio Riverwalk • San Antonio, TX 

 

REGISTRATION FORM

Thank you for your interest in the 2019 ASCH-ERF Annual Scientific Meeting and Workshops.

ASCH Members who login will have their information, i.e. address, phone, email and membership ID, auto-filled into the contact fields below.  Click on the login button in the upper right corner of the page to login now!

ASCH offers real-time credit card processing.  After completing the form you will receive an email receipt of your credit card purchase. 

This is an interactive registration form.  It is designed to help make your registration simple and straightforward. Depending upon the speed of your connection, there may be a small delay when you make certain selections, because the form is programmed to hide and display interactive fields based on your selections.  We thank you for your patience.

If you would like to open an on-line description of the program in another window of your browser while you are registering, click here.   The registration fees are found here.  If you would prefer to register via paper, click here.

Please note that any questions which have an asterisk next to them are required fields.  The form will not
submit unless you complete those questions.

In the event there are any missing data on your form, a list of missing data will be provided at the bottom of the form when you click "Submit".   There will also be a message in red next to any question that is required which is not completed.   

If you have any questions, please do not hesitate to contact us via e-mail at info@asch.net or via telephone at +1-630-980-4740. 

See you in San Antonio!

ABOUT YOU


























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SESSIONS 

Please note that individuals attending the Annual Meeting may choose the Power of Words (POW) as their Saturday selection in their Advanced Workshop schedule.  

The POW is also offered as a standalone one-day workshop to all licensed or nationally certified health care professionals; graduate students in accredited graduate health care programs; and medical, nursing, psychology, and dental students.  People meeting these eligibility criteria and NOT registering for the Annual Meeting may sign up for the Power of Words separately.  In that case, the special registration rate for the session is $99.  If you qualify under these criteria and wish to register for only this program, indicate "Yes" in the following question to sign up for this program and proceed to checkout.  The session is being held all day on Saturday, March 30, 2019.



Please note that there is an optional preconference workshop offered at this meeting presented by Michael Yapko, PhD.  The session will be held on Thursday, March 28, 2019 from 7:30 a.m. - 11:45 a.m.  The workshop discusses the use of hypnosis to help patients make key distinctions that regulate decision-making relating to their presenting problems.  There is a separate fee of $80 to attend this preconference session.  By selecting the session below, you are indicating you wish to attend and your registration fee will include the $80 fee.  If you should change your mind and not wish to attend the preconference session, simply re-choose the "- select one -" option for the preconference session, and the fee will be taken off your registration. 


Unless you are registering for the Power of Words under the special criteria above, please note that no sessions will display below until you select the track which you wish to attend in the next field.

Please note that registrants wishing to attend the Teaching and Consultation Workshop must register for the Full Advanced Workshop.


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Thursday, March 28, 2019

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Friday, March 29, 2019

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Saturday, March 30, 2019

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Sunday, March 31, 2019

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REGISTRATION 

Students need to submit proof of full-time enrollment at an ACE-approved institution of higher education on school letterhead that clearly identifies the individual’s program of study, area of concentration (if applicable), level of degree pursued (masters or doctoral degree required) and date of intended graduation.  Please fax these to the attention of "ASCH ASMW registration" to +1-630-351-8490; or e-mail them with the subject line of "ASCH ASMW Registration" to info@asch.net.


Residents/interns need to submit correspondence from their supervisor on official letterhead explaining the nature of the residency/internship and date of intended completion of the program.  Please fax that information to the attention of "ASCH ASMW registration" to +1-630-351-8490; or e-mail it with the subject line of "ASCH ASMW Registration" to info@asch.net.

*An Early Career Professional ( ECP) is an individual who is eligible to attend ASCH-ERF educational programming AND who has completed the initial graduate degree used for licensure within the last five years.  ECP registrants will need to provide a copy of their diploma with their registration. Please fax it to the attention of "ASCH ASMW registration" to +1-630-351-8490; or e-mail it with the subject line of "ASCH ASMW Registration" to info@asch.net.  



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AWARDS BANQUET 





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CANCELLATION POLICY

Cancellation Policy: Cancellations postmarked/faxed after March 2, 2019 but on or before March 16, 2019 will receive a refund of the amount paid less a $50 administrative charge. No refunds after March 16, 2019. Exceptions will only be granted due to death of participant or immediate family member, severe illness/injury of participant or immediate family member, or the inability of participant to travel due to legal or governmental restrictions/obligations, and will require written notification and appropriate documentation. Registration fees are not transferable to another workshop.

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PAYMENT








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CREDIT CARD INFORMATION

Please note that you must indicate you are ready to total your form by clicking "Yes" in the following question.  The question will reset to "No" after it totals your registration.  Then complete your credit card information and Submit.  If you make a change in your form, you will need to indicate you are ready to total the form again.  If after indicating that you are ready to total the form the Total Payment is still not correct, click "Yes" on the Recalculate button below.  This should make any final corrections.











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