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Summer Institute - Tent Card

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									              are eligible for the early bird rate and your name will be entered into a draw to win a four night stay at the Crowne Plaza Ottawa.
                 Members of CPA or other provincial/territorial psychological associations who register for workshops before May 31, 2006
                                                                                                        Visit our website for updates: www.cpa.ca




OTTAWA
                                                                                                         Crowne Plaza Hotel, Ottawa, Ontario
                                                                                                    August 2, 3, and 4, 2006
                                                                                                         Summer Institute
                                                                                                        Continuing Education
                                                                                                           Third Annual
                                                                                                     Canadian Psychological Association
 REGISTRATION FORM
Total payment enclosed $__________                                                                                 Cancellation Policy: The registration
                                                                                                                   fee, less a 25 % administration fee,
Method of payment (check one)              cheque           VISA         Mastercard            money order
                                                                                                                   will be refunded if cancellation is
Credit Card number: ___________________________________________________ Expiry date: ______ /_______               received prior to June 30, 2006. No
Signature: _______________________________________________________________________________________________         refunds will be possible for cancella-
                                                                                                                   tions received after June 30, 2006.
                                                                        ___________________
Association of Psychology of which you are a member: ____________________
                                                                                                ____
Name (last): ________________________________(first) ____________________________ (initial) _____                  Mail or fax the completed registra-
Mailing Address: _____________________________________________________________________________                     tion form, along with payment to:
City: _________________________ Province/Territory: ________________ Postal Code: ________________                 Canadian Psychological Association
Telephone: ___________________________________________ Fax: __________________________________                     141 Laurier Avenue West, suite 702
E-mail: _______________________________________________________________________________________                    Ottawa, Ontario K1P 5J3
Professional affiliation (e.g. psychologist, social worker, psychiatrist)                                          Fax: 613-745-8753
_________________________________________________________________________________________________                  Tel: 888-472-0657
Name and affiliation for badge (e.g. Dr. Joe Smith, Park Lane Hospital)                                            or 613-237-2144, ext. 360
                                                                                                                   (Ask for Raymonde or Denise)
_________________________________________________________________________________________________                  Email: workshops@cpa.ca
Dietary needs: ________________________________________________________________________
               THIRD ANNUAL CPA CONTINUING
               EDUCATION SUMMER INSTITUTE                                                                                                These workshops
                                                                                                                                       designed to meet
                                                                                                                                                             have been
                                                                                                                                                           the continuing
                                                                                                                                      education needs
               August 2, 3, and 4, 2006                                                                                             Other regulated
                                                                                                                                                        of psychologists.
                                                                                                                                                    health care prov
                                                                                                                                        such as psychia                iders,
                                                                                                                                                         trists or other
The 2006 Summer Insitute will be held at the Crowne Plaza, located in downtown Ottawa, close to the                                  physicians, socia
                                                                                                                                                       l workers, nurse
                                                                                                                                    or occupational                      s
Parliament Buildings and the Byward Market. The Institute will include 9 workshops, 3 run concurrently                                              therapists, may
                                                                                                                                                                       also
each day for three days. Each workshop will be accorded 5.5 CPA Continuing Education Credits.                                            find them relevan
                                                                                                                                                            t and are
                                                                                                                                             welcome to atten
To make room reservations at the Crowne Plaza, please contact the hotel directly at 1-800-567-3600                                                              d.
(direct toll free) or (613) 237-3600. When making room reservations, indicate that you will be attending
the CPA Continuing Education Summer Institute to ensure that you obtain the workshop room rate
                                                                                                                                    The early-bird workshop
($125). Room supplies are limited and you are encouraged to make your reservations as soon as possi-
                                                                                                                                    registration deadline is May 31st
ble. CPA’s room block will be held until June 29, 2006 but it is possible that rooms will be sold out
                                                                                                                                    and the final deadline is July 14th.
before that date! Participants are encouraged to review the hotel’s cancellation policies when making
                                                                                                                                    Registration will be confirmed once
their room reservations.
                                                                                                                                    the completed registration form is
  Special Public Breakfast Lecture with Dr. Michael Vallis                                                                          received along with payment. Rates




OTTAWA
  Changing for Good: Overcoming the Barriers to Healthy Living                                                                      include GST. Note that the member
  Thursday, August 3, 2006 – 7:30am to 9:30am – see www.cpa.ca for details                                                          rate is extended to members of
  In collaboration with the Heart & Stroke Foundation of Canada and the Canadian Diabetes Association                               Canadian associations of psychology,
                                                                                                                                    not regulatory bodies of psychology.
Information about this year’s presenters and workshops can be found on our website www.cpa.ca.
Dates, speakers and workshop titles are as follows, please check the appropriate box(es):                                           MEMBER RATES
                                                                                                                                                     Before        After
Wednesday August 2, 2006                  Thursday August 3, 2006                   Friday August 4, 2006                                          May 31, 2006 May 31, 2006
8:00 am to 3:00 pm                        10:00 am to 5:00 pm                       8:00 am to 3:00 pm                              1 workshop        $240.75      $294.25
    Workshop 1                               Workshop 4                                Workshop 7
                                                                                                                                    2 workshops        $428.00         $535.00
Dr. Carol Falender, University of         Dr. Thomas Kubiszyn, University of        Dr. Helen L. Coons, Women's
California, Los Angeles, A                Houston, Texas, Pediatric                 Mental Health Associates,                       3 workshops        $642.00        $802.50
Competency-based Approach to              Psychopharmocology and                    Philadelphia, Enhancing Outcomes
Clinical Supervision                      Psychosocial Treatment: Advances,         in Women with Chronic Medical                   NON-MEMBER RATES
                                          Issues, and Opportunities                 Problems                                        1 workshop    $294.25
   Workshop 2
Dr. George McCloskey,                         Workshop 5                               Workshop 8                                   2 workshops             $535.00
Philadelphia College of Osteopathic       Dr. Thomas W. White, Training and         Dr. Eric Youngstrom, Case Western               3 workshops             $802.50
Medicine, Philadelphia, Executive         Consulting Services, Kansas City,         Reserve University, Cleveland,
Functions: Definition, Assessment         Suicide Risk Management: A Best           Bipolar Disorder in Children and                Full-time student rates
and Intervention                          Practice Approach for                     Adolescents
                                                                                                                                    with proof of studentship
                                          Identifying Suicidal and High Risk
    Workshop 3                            Clients                                       Workshop 9
                                                                                                                                    1 workshop         $107.00
Dr. Michael Vallis, Queen Elizabeth                                                 Collaborative Health Care: Models, Barriers     2 workshops             $187.25
II Health Sciences Centre, Halifax,          Workshop 6                             and Opportunities for Practitioners.
The Challenge of the New                  Dr. Mark Lau, Centre for Addiction        This workshop is being planned and delivered    3 workshops             $267.50
                                                                                    collaboratively by several health professions
Millenium, Managing Risk in               and Mental Health, University of
                                                                                    to include psychology, psychiatry, family
Diabetes and Cardiovascular Health        Toronto, Mindfulness-Based                medicine, dietetics, occupational therapy and      I will attend the Breakfast Lecture and
                                          Cognitive Therapy for Preventing          pharmacy. Confirmed featured speakers are
                                          Depressive Relapse                        Drs. Jean Grenier and Marie-Hélène
                                                                                                                                       have registered for Workshop 4, 5 or 6
                                                                                    Chomienne, Hôpital Montfort, Ottawa.                Breakfast Lecture Only – 25 $
                                                                                    Visit CPA’s website for more details.

								
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