Registration and Accommodation March 2022 – rakhawyinstitute

Registration Form

Name *

First

Last

Age *

Country *

Email *

Tel *

Academic degree *

Profession *

Mental health profession (psychiatrist or psychologist)

Others : specify

Do you practice psychotherapy

Yes
No

Number of years of practice in psychotherapy

Have you ever attended any Schema Therapy conference

Yes: Please Mention
No

Single Line Text

Are you a member of the ISST

Yes
No

Are you a member of any national or international association for psychotherapy

Yes: Mention
No

Single Line Text

Type of registration

Online
Conference
One Day
One workshop
Onsite
RITR Camp
Pre-conference Participation
Conference Participation
Pre + conference
Per one workshop

RITR Community Camp

yes
no

Full package

yes
no

Way of participation

Online
Offline

How did you hear about the conference

I confirm that all the above information is correct *

yes

Registration Fees

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