Please register me for the August 3 & 4, 2007 workshop in Atlanta, ga



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Atlanta, GA:

Ethics, Boundaries, and Somatic Interventions in the Treatment of Chronically Traumatized Individuals

August 3&4, 2007
Please register me for the August 3 & 4, 2007 workshop in Atlanta, GA: Ethics, Boundaries, and Somatic Interventions in the Treatment of Chronically Traumatized Individuals with Pat Ogden, PhD and Kathy Steele, MN, CS
I am registering by July 1, 2007______($250/person) After July 1, 2007 _____($300/person)
Name: ____________________________________________Credentials_______________________

Address: _____________________________________________________________________________


City/State/Zip: _______________________________________________________________________
E-Mail: _________________________________Phone Number_______________________________

Method of Payment o Check o MasterCard o Visa
Amount enclosed ____________Account# ______________________________________________

Expiration date _________Signature of cardholder_______________________________________

Billing Address (if different from above)_________________________________________________

City/State/Zip_________________________________________________________________________


Please make checks payable to SPI and mail with this form to: SPI, P.O. Box 19438, Boulder, CO 80308 Please contact SPI at 303-447-3290 or 1-800-860-9258 with questions.

To register by fax (Visa, MasterCard, only) dial (303)402-0862.

LOCATION • DATE • TIME • RATES


Location: Ridgeview Institute, 3995 South Cobb Drive, Smyrna, GA 30080

Dates: August 3 & 4, 2007
Times: Friday and Saturday 9:00am—5:00pm

Check-in and registration will begin at 8:30am both days



ADA: If you have special needs, please contact 770-434-4568, x3001
Registration: $250 (before 7/1/07) or $300 (after 7/1/07)
Please contact SPI at 303-447-3290 or 1-800-860-9258 or go to http://www.sensorimotorpsychotherapy.com for more information.

Local Contact: Dianne Gay 770-434-4568, ext 3001 or dgay@ridgeviewinstitute.com


Please register me for the August 3 & 4, 2007 workshop in Atlanta, GA: Ethics, Boundaries, and Somatic Interventions in the Treatment of Chronically Traumatized Individuals
I am registering by July 1, 2007______($250/person) After July 1, 2007 _____($300/person)

Name: ________________________________________________Credentials________________________

Address: _________________________________________________________________________________
City/State/Zip: ___________________________________________________________________________
E-Mail: ___________________________________Phone Number_________________________________

Method of Payment o Check o MasterCard o Visa

Amount enclosed ____________Account# _________________________________________________

Expiration date ____________Signature of cardholder_______________________________________

Billing Address (if different from above)____________________________________________________



City/State/Zip____________________________________________________________________________
Please make checks payable to SPI and mail with this form to: SPI, P.O. Box 19438, Boulder, CO 80308

To register by fax (Visa, MasterCard, only) dial (303)402-0862.



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