Regional Workshop Registration

 

  • 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 now offers real-time credit card processing.  After completing the form you will receive an email receipt of your credit card purchase.
     
  • If you have any questions, please do not hesitate to contact us at (630) 980-4740
Workshop Registration
















 


 MEMBERSHIP 






Please provide information on your graduate program, indicate a masters or doctoral level, and provide written confirmation from your school/program of your enrollment.

 


 FEES 



"Hypnotic Induction and Suggestion" - $20 each





 


 PAYMENT 




If there is no dollar amount re-click the button you selected for "Printed Handout Option" above and it will calculate the grand total.

 


 ADA STATEMENT 

ADA Statement: In compliance with the Americans with Disabilities Act (ADA), please check this box if you require assistance because of a disability to make this program accessible to you. Someone from the ASCH Office will contact you.

 


 CANCELLATION POLICY 

Cancellations postmarked/faxed between 2 and 4 weeks prior to the first day of the meeting will receive a refund of the amount paid less a $50 administrative charge. No refunds within two weeks of the first day of the meeting. Exceptions will only be granted due to death of the participant or an immediate family member, severe illness/injury of the participant or an immediate family member, or the inability of the participant to travel due to legal or government restrictions/obligations, and require written notification and appropriate documentation. Registration fees are not transferable to another workshop.

 


Scope of Practice - Agreement

By submitting this registration I agree that I understand that the rules and statues of the states vary in terms of the use of clinical hypnosis and that the individuals accept responsibility for the care of their clients or patients consistent with the individuals' discipline and licensure and that they should seek out consultation and/or supervision when in doubt regarding their clinical practices or when questioned by others about their clinical practice and that I will only use hypnosis within the scope of my practice

 


SUBMISSION NOTICE

Once you click the "Submit Registration" button, your credit card will be charged and you should be re-directed to a "Thank You" page.  If you are re-directed to a page that says "CRITICAL ERROR" please note that your registration has been submitted and your credit card has been charged.  If you did not receive a confirmation email please call us at (630) 980-4740 to verify your registration status before submitting again.