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Proudly sponsored by EDGEWOOD Treatment Centre and Jack Hirose & Associates www.edgewood.ca | www.jackhirose.com CANADA’S PREMIER PSYCHOTHERAPY AND WORKPLACE MENTAL HEALTH CONFERENCE November 29, 2011 (Tuesday) Pre-Conference Workshops November 30, December 1 & 2, 2011 (Wednesday – Friday) Three-Day Conference 8:30 am to 5:00 pm Additional Sessions: November 29, 2011 | 6:30 pm to 8:30 pm November 30, 2011 | 6:30 pm to 8:30 pm December 1, 2011 | 6:30 pm to 8:30 pm Sheraton Vancouver Airport Hotel (formerly the Best Western Richmond Inn Hotel) 7551 Westminster Highway, Richmond, B.C. Approved for up to 30 continuing education credit hours (four day attendance) PRESENTED BY: RICK HANSEN, Ph . D. JANIS ABRAHMS SPRING, Ph . D. LORNE HILDEBRAND Relevant to addiction treatment professionals, therapists, counsellors, JOAN BORYSENKO, Ph . D. SCOTT MILLER, Ph . D. social workers, nurses, physicians, rehabilitation/vocational professionals, mental JOHN BRADSHAW, m . a . CARDWELL NUCKOLS, Ph . D. health workers, program administrators, human resource professionals, occupational health JOHN BRIERE, Ph . D. ERICA PINSKY, m . Sc. chRP professionals, employee and family assistance DAVID BURNS, m . D. MEL VINCENT, m . D. professionals, employers of both small and large businesses, health insurers, union representatives, STEPHANIE COVINGTON, Ph . D. REID WILSON, Ph . D. health and safety committee members, disability management professionals. JANINA FISHER, Ph . D. MICHAEL YAPKO, Ph . D. For more information and registration: conference2011.jackhirose.com | 1.800.456.5424 DEAR COLLEAGUE, We are in the midst of planning our second annual Healing and Treating Trauma, Addictions and Related Disorders conference. Last year’s conference attendees commented that the event was our company’s best ever. We hope to meet and exceed your expectations this fall with another stellar line-up of the finest presenters in our field. The four-day conference is scheduled to take place in Richmond, British Columbia on November 29th, 30th, December 1st and 2nd, 2011. Once again, Jack Hirose and Associates is honored to co-sponsor Canada’s Premier Psychotherapy and Workplace Mental Health Conference with EDGEWOOD Treatment Centre. EDGEWOOD is an internationally renowned private addictions treatment centre on Vancouver Island and a Canadian leader in alcohol and drug treatment. We will be offering many topics relevant to mental health practitioners as well as professionals in the workplace. We have expanded our list of topics to appeal to clinicians as well as to individuals who perform vital roles to create healthy work environments (human resource personnel, disability management personnel, occupational health professionals, employee and family assistance professionals, union representatives, health and safety committee members, health insurers and employers of both small and large businesses). It is our hope that the conference will provide you with new skills, insights, and ideas and allow you to perform at the highest level. You will not be disappointed. Mark this event on your calendar. We look forward to seeing you at this special event this fall. Regards, Jack Hirose Jack Hirose and Associates Inc. This conference is eligible for 30 continuing education credit hours with the following 30 CEUs organizations: Canadian Counselling and Psychotherapy Association, Canadian Addiction Counsellors Certification Federation, Association of Social Work Boards, Canadian Association of Rehabilitation Professionals, Canadian Professional Counselling Association, Employee Assistance Certification Commission. The Canadian Psychological Association has approved day one (pre-conference) for 9 hours. DON’T MISS OUR EVENING SESSIONS: Tues., Nov. 29th | 6:30pm – 8:30 pm Wed., Nov. 30th | 6:30pm – 8:30 pm Thurs., Dec. 1st | 6:30pm – 8:30 pm Public Speaking Anxiety Alcohol and Drugs and The The Art and Science of Healing: with Dr. David Burns, M.D. New Brain Science Finding the Healing Self Inside with Lorne Hildebrand, (an experiential session) DO YOU STRUGGLE PERSONALLY Executive Director of EDGEWOOD with Cardwell Nuckols, Ph.D. with public speaking anxiety or does an individual on your team suffer from public speaking anxiety which is hampering his/ BEFORE YOU CAN UNDERSTAND ExPERIENCE THE AWARENESS AND her performance? This problem can rob addiction it is important to understand awakening of your healing SELF in this individuals ofopportunities for intimacy, the nature of addiction itself. In this pre- powerful program for those who are seek- self-confidence, career advancement, and sentation, Lorne Hildebrand will discuss ing spiritual growth and enhanced heal- nearly always trigger painful feelings of the nature of the disease of addiction, the ing potential. shame, loneliness, or defectiveness. difference between drug and/or alcohol Become aware during this interactive abuse and dependence, how you identify Dr. Burns will introduce numerous tech- process of your own true healing self and the problem and what professionals can niques which will allow individuals to how your spiritual evolution enhances the do specifically to address it. overcome their fear of public speaking. spiritual, psychological and neurobiologi- He will introduce several techniques From the assembly line to the board cal healing of those you work with. This which include: Paradoxical Double Stan- room, addiction costs the workforce and course of action will lead one to the truth dard Technique,Externalization of Voices, the community at large in both time and about meditation – a space having no cen- Feared Fantasy, Acceptance Paradox, Self- money through increased health care ex- ter, no direction and no time – only the si- Disclosure, Hidden Emotion Technique, penses, absenteeism, replacement labor lence of the eternal SELF. Survey Technique, Law of Opposites, Jay and job site accidents, to name but a few. Leno Technique, and more. Early intervention, coupled with assess- ments, treatment referrals and follow-up We hope you can join us for this dynamic aftercare and monitoring services have evening presentation! proven extremely effective in improving recovery outcomes. DAY ONE Tuesday, November 29th, 2011 | Pre-Conference Workshops (choose one) “...AND IT’S All YOur FAulT!” How to Overcome Anger & Interpersonal Conflict presented by DAVID BURNS, M.D. 8:30am – 4:30pm (with a 30 minute lunch session – please bring bag lunch) RESEARCH STUDIES INDICATE that most current treatment approaches for individuals DAVID BURNS, M.D. is a Clinical struggling with relationship problems tend to be ineffective. Cognitive Interpersonal Therapy (CIT) Associate Professor of Psychiatry and is a new treatment method that’s based on three simple but powerful ideas: Behavioral Sciences at the Stanford 1. We create our own interpersonal reality at every minute of every day. However, we’re unaware University School of Medicine and that we’re doing this, so we blame others for the problems in our relationships and feel totally has served as Visiting Scholar at Har- convinced that we’re innocent victims. vard Medical School. His best-selling book Feeling Good: The New Mood 2. We will strongly resist examining our own role in the conflict because we feel morally superior Therapy has sold over 4 million cop- and are overwhelmingly convinced that we’re “right.” ies worldwide and is the book most 3. We have far more power than we think to change troubled relationships – if we’re willing to often recommended by American focus entirely on changing ourselves instead of blaming and trying to change the other person. This and Canadian mental health profes- discovery can be enlightening, but extremely painful, because it involves the death of the ego. sionals to clients suffering from de- pression. Dr. Burns has been named During the workshop, you’ll have the opportunity to work on a conflict you’ve experienced with a “Teacher of the Year” on three occa- family member, colleague or patient so that you can gain a personal perspective as well as a solid sions by the graduating residents at clinical understanding of CIT. Teaching methods will include didactic presentations, Q&A, exercises, the Stanford Medical School. and live demonstrations. MINDING THE BODY, MENDING THE MIND: The Quest for Self and Mind/Body Connection presented by JOAN BORYSENKO, Ph.D. 9:00am – 4:30pm (with a 60 minute lunch break) STRESS-RELATED EMOTIONAL AND PHYSICAL DISORDERS account for over two thirds of JOAN BORYSENKO, PH.D. is a visits to family practice physicians. The anxiety, hostility, and depression that accompany stress also Harvard-trained medical scientist, contribute to human suffering through addiction, violence, and loss of human potential. licensed psychologist, and popular speaker. A New York Times best- Healing, both physical and mental, is encouraged by developing a healthy lifestyle and learning to selling author, her most recent manage one’s thinking and emotions to optimize resilience. Programs that incorporate training in books include It’s Not the End of emotional literacy, healing of adverse childhood experiences, mindfulness, gratitude, relaxation the World: Developing Resilience training, and forgiveness are clinically proven to promote healing. In this workshop, we will create a in Times of Change and her newly comprehensive framework for minding the body and mending the mind, placing special emphasis released Fried: Why You Burn Out on evidence-based research and tools to incorporate into practice. and How to Revive. Her work has LEARNING OBJECTIVES: appeared in newspapers rang- Attend this session and you will learn how to: ing from The Washington Post to • USE narrative repair as an intervention to create positive meaning the Wall Street Journal. A warm and • DISCUSS the research data in engaging teacher, she blends cut- psychoneuroimmunology • COMPARE and contrast burnout and depression ting edge science and psychology • LIST 5 key factors in resilience • LIST the 12 stages of burnout with grace, humor, and a healing • DESCRIBE the change process to presence. clients as a rite of passage • PRACTICE mindfulness meditation Healing and Treating Trauma, Addictions & Related Disorders Conference Agenda DAY 2 Wednesday, Nov. 30 DAY 3 Thursday, Dec. 1 DAY 4 Friday, Dec. 2 FIRST KEYNOTE John Bradshaw, M.A. The John Briere, Ph.D. Reid Wilson, Ph.D. The 8:45 am – 9:45 am Primacy of the Affect System Understanding and Treating Treatment of Worry Complex Psychological Trauma SECOND KEYNOTE Scott Miller, Ph.D. Michael Yapko, Ph.D. Janina Fisher, Ph.D. 9:45 am – 10:45 am Achieving Clinical Excellence Mindfulness & Hypnosis Dancing the Neurobiological Waltz 10:45 am – 11:00 am MID-MORNING BREAK THIRD KEYNOTE Janis Abrahms Spring, Stephanie Covington, Ph.D. Rick Hansen, Ph.D. 11:00 am – 12:00 noon Ph.D. Life with Pop: Caring The Addiction/Trauma Mindfulness & Taking in for a Aging Parent Connection the Good 12:00 noon – 1:15 pm LUNCH BREAK FIRST AFTERNOON John Bradshaw, M.A. John Briere, Ph.D. The Reid Wilson, Ph.D. CONCURRENT SESSION Embracing our Shadow Pain Paradox Strategic Treatment of 1:15 pm – 3:00 pm Anxiety Disorders Scott Miller, Ph.D. Michael Yapko, Ph.D. SuperShrinks Depression is Contagious Janina Fisher, Ph.D. Neuroplasticity & Mindfulness Janis Abrahms Spring, Stephanie Covington. Ph.D. Ph.D. Don’t Ask Me to Beyond Trauma: A Healing Rick Hansen, Ph.D. Forgive You! Journey for Women Steadying the Mind WORKPLACE FOCUS Mel Vincent, M.D. Erica Pinsky, Msc, CHRP Cardwell Nuckols, Ph.D. Workplace Disability: Is There a Bully in Your Substance Abuse in the Substance Use Disorder Workplace? Workplace 3:00 pm – 3:15 pm MID-AFTERNOON BREAK SECOND AFTERNOON John Bradshaw, M.A. John Briere, Ph.D. The Pain Reid Wilson, Ph.D. Strategic CONCURRENT SESSION Embracing our Shadow Paradox (continuation) Treatment of Anxiety 3:15 pm – 5:00 pm (continuation) Disorders (continuation) Michael Yapko, Ph.D. Scott Miller, Ph.D. Depression is Contagious Janina Fisher, Ph.D. SuperShrinks (continuation) (continuation) Neuroplasticity & Mindfulness (continuation) Janis Abrahms Spring, Stephanie Covington. Ph.D. Ph.D. Don’t Ask Me to Leaving the Enchanted Forest Rick Hansen, Ph.D. Forgive You! (continuation) The Loving Brain WORKPLACE FOCUS Mel Vincent, M.D. Erica Pinsky, Msc, CHRP Cardwell Nuckols, Ph.D. Workplace Disability: From Disrespect to Respect Substance Abuse in the Substance Use Disorder Workplace (continuation) (continuation) EVENING SESSION Lorne Hildebrand Alcohol & Carwell Nuckols, Ph.D. Art and 6:30 pm – 8:30 pm Drugs & The New Brain Science Science of Healing – Keynote session – Concurrent sessions (choose one) Each conference day is eligible for 7 continuing education credit hours. Conference format: Attend 3 keynote presentations each morning of the JANIS ABRAHMS SPRING, PH.D. is a nationally conference. You have the option of attending 1 of 4 afternoon concurrent acclaimed expert on issues of trust, intimacy, and sessions of your choice. We have scheduled two afternoon sessions each day forgiveness. She is author of the award-winning books of the conference. The first afternoon concurrent session is held between How Can I Forgive You? The Courage to Forgive, The 1:15 pm to 3:00 pm and the second afternoon session is held between 3:15 Freedom Not To and Life with Pop: Lessons on Caring pm and 5:00 pm. Participants have the option of attending the session of for an Aging Parent. In private practice for 34 years in their choice. Please note that the some afternoon sessions are a continuation Westport, Connecticut, Dr. Spring is a recipient of the of the previous session. Connecticut Psychological Association’s Award for Distinguished Contribution to the Practice of Psychology. DAY TWO Wednesday, November 30th, 2011 More information: janisaspring.com 11:00 am – 12:00 noon THIRD KEYNOTE SESSION JOHN BRADSHAW, M.A. is a renowned speaker, Life with Pop: Lessons on Caring for an Aging Parent counsellor, and New York Times bestselling author (Homecoming: Reclaiming and Championing Your 1:15 pm – 3:00 pm FIRST AFTERNOON Inner Child, Healing the Shame That Binds You, Creating CONCURRENT SESSION Love). He is one of the leading figures in the fields of “Don’t Ask Me to Forgive You!” A Radical Approach to Healing addiction/recovery, family systems, relationships, Infidelity and Other Interpersonal Wounds spiritual and emotional growth, and management 3:15 pm – 5:00 pm SECOND AFTERNOON training. His dynamic training and therapies are CONCURRENT SESSION practiced all over the world. “Don’t Ask Me to Forgive You!” A Radical Approach to Healing More information: johnbradshaw.com Infidelity and Other Interpersonal Wounds (This workshop is continued from the first afternoon concurrent session.) 8:45 am – 9:45 am FIRST KEYNOTE SESSION The Primacy of the Affect System: What it Means for MEL VINCENT, M.D. has a BSc-Nutrition (University the Formation of the Self and Therapy of Guelph) and MSC-Nutrition (University of Toronto), a Medical Degree from McMaster University, and 1:15 pm – 3:00 pm FIRST AFTERNOON completed Psychiatry training. In 2002 Dr. Vincent CONCURRENT SESSION became Director of Psychiatric Services at EDGEWOOD. Embracing Our Shadow: Unconcious Blocks to Dr. Vincent is a past President of the British Columbia Rigorous Honesty Psychiatric Association. He is currently a clinical 3:15 pm – 5:00 pm SECOND AFTERNOON instructor for the Addiction Division of the Department CONCURRENT SESSION of Psychiatry, University of British Columbia. Embracing Our Shadow: Unconcious Blocks to Rigorous Honesty (This workshop is continued from the More information: edgewood.ca first afternoon concurrent session.) 1:15 pm – 3:00 pm FIRST AFTERNOON CONCURRENT SESSION SCOTT MILLER, PH.D. is a co-founder of the Center Workplace Disability: Substance Use Disorder and for Clinical Excellence. Dr. Miller conducts workshops Mental Illness and training in the United States and abroad, helping 3:15 pm – 5:00 pm SECOND AFTERNOON hundreds of agencies and organizations, both public CONCURRENT SESSION and private, to achieve superior results. Scott is the Workplace Disability: Substance Use Disorder and author of numerous articles and co-author of many Mental Illness (This workshop is continued from the first psychotherapy books including The Heart and Soul of afternoon concurrent session.) Change and The Heroic Client: A Revolutionary Way to Improve Effectiveness through Client-Directed, Outcome-Informed Therapy. LORNE HILDEBRAND, Executive Director of More information: scottdmiller.com EDGEWOOD, has an extensive background in organization consultation with over 20 years of 9:45 am – 10:45 am SECOND KEYNOTE SESSION management experience with various companies Achieving Clinical Excellence: Three Steps to and service organizations. Lorne has dedicated much Superior Performance of his time to helping others better understand the science of addiction and has become a well-respected 1:15 pm – 3:00 pm FIRST AFTERNOON presenter in the field of addiction. CONCURRENT SESSION Supershrinks: Learning from the Field’s Most More information: edgewood.ca Effective Practitioners 6:30 pm – 8:30 pm EVENING SESSION 3:15 pm – 5:00 pm SECOND AFTERNOON Alcohol and Drugs and the New Brain Science CONCURRENT SESSION (see page 2 for details) Supershrinks: Learning from the Field’s Most Effective Practitioners (This workshop is continued from the first afternoon concurrent session.) International Council on Alcoholism and Addiction. DAY THREE Thursday, December 1st, 2011 More information: stephaniecovington.com JOHN BRIERE, PH.D. is Associate Professor of 11:00 am – 12:00 noon THIRD KEYNOTE SESSION Psychiatry and Psychology at the Keck School of The Addiction/Trauma Connection: Spirals of Recovery Medicine, University of Southern California, and and Healing Director of the Psychological Trauma Program at Los Angeles County-USC Medical Centre. Dr. Briere has 1:15 pm – 3:00 pm FIRST AFTERNOON authored a number of books, articles, and chapters CONCURRENT SESSION in the areas of child abuse, psychological trauma, and Beyond Trauma: A Healing Journey for Women interpersonal violence, including Principles of Trauma Therapy: A Guide to Symptoms, Evaluation, and Treatment. 3:15 pm – 5:00 pm SECOND AFTERNOON CONCURRENT SESSION Leaving the Enchanted Forest: The Path from 8:45 am – 9:45 am FIRST KEYNOTE SESSION Relationship Addiction to Intimacy Understanding and Treating Complex Psychological Trauma 1:15 pm – 3:00 pm FIRST AFTERNOON ERICA PINSKY, M.SC., CHRP is a respectful CONCURRENT SESSION workplace solutions expert. As a speaker, trainer, The Pain Paradox: Mindfulness, Compassion, and Resilience author and consultant she provides a full range in Trauma Therapy of customized services and solutions to eliminate discrimination, harassment, bullying and destructive 3:15 pm – 5:00 pm SECOND AFTERNOON conflict in the workplace. Her highly acclaimed book CONCURRENT SESSION Road to Respect: Path to Profit is filled with engaging The Pain Paradox: Mindfulness, Compassion, and Resilience stories, powerful insights and concrete strategies on in Trauma Therapy (This workshop is continued from the first becoming an employer of choice by building a respectful workplace culture. afternoon concurrent session.) 1:15 pm – 3:00 pm FIRST AFTERNOON MICHAEL YAPKO, PH.D. is a clinical psychologist CONCURRENT SESSION and marriage and family therapist, routinely teaching Is There a Bully in Your Workplace? to professional audiences all over the world. Dr. Yapko is the author of numerous books, book chapters, and 3:15 pm – 5:00 pm SECOND AFTERNOON articles on the subjects of hypnosis, depression, and CONCURRENT SESSION strategic psychotherapies, including the popular From Disrespect to Respect: Restoring Workplace Health Breaking the Patterns of Depression, Trancework: An with a Respectful Workplace Culture Introduction to the Practice of Clinical Hypnosis, Essentials of Hypnosis, and Depression is Contagious. 6:30 pm – 8:30 pm EVENING SESSION More information: yapko.com The Art and Science of Healing: Finding the Healing Self Inside (an experiential session with Cardwell Nuckols, Ph.D. – see page 2 for details) 9:45 am – 10:45 am SECOND KEYNOTE SESSION Mindfulness and Hypnosis: The Power of Suggestion to Transform Experience DAY FOUR Friday, December 2nd, 2011 1:15 pm – 3:00 pm FIRST AFTERNOON CONCURRENT SESSION Depression is Contagious! The Social Aspects of the Most Common Mood Disorder in the World REID WILSON, PH.D. is an international expert in the treatment of anxiety disorders. Dr. Wilson directs 3:15 pm – 5:00 pm SECOND AFTERNOON the Anxiety Disorders Treatment Center in Chapel Hill, CONCURRENT SESSION NC and is Associate Clinical Professor of Psychiatry at Depression is Contagious! The Social Aspects of the the University of North Carolina School of Medicine. Most Common Mood Disorder in the World (This workshop He is author of Don’t Panic: Taking Control of Anxiety is continued from the first afternoon concurrent session.) Attacks and Facing Panic: Self-Help for People with Panic Attacks. Dr. Wilson served on the Board of Directors of the Anxiety Disorders Association of America for 12 years. STEPHANIE COVINGTON, PH.D. is a clinician, author, organizational consultant, and lecturer. She has More information: anxieties.com conducted seminars worldwide on addiction, sexuality, families, and relationships for health professionals, business and community organizations, and recovery 8:45 am – 9:45 am FIRST KEYNOTE SESSION groups. Dr. Covington has served on the faculties of The Treatment of Worry the University of Southern California, San Diego State 1:15 pm – 3:00 pm FIRST AFTERNOON University, and the California School of Professional CONCURRENT SESSION Psychology, and she is a former chair of the Women’s Committee of the Strategic Treatment of Anxiety Disorders 3:15 pm – 5:00 pm SECOND AFTERNOON 1:00 pm – 3:00 pm FIRST AFTERNOON CONCURRENT SESSION CONCURRENT SESSION Strategic Treatment of Anxiety Disorders (This workshop is Identifying and Managing Substance Abuse in the Workplace continued from the first afternoon concurrent session.) 3:15 pm – 5:00 pm SECOND AFTERNOON CONCURRENT SESSION JANINA FISHER, PH.D. is a licensed Clinical Identifying and Managing Substance Abuse in the Workplace Psychologist and Instructor at the Trauma Center, an (This workshop is continued from the first afternoon concurrent session.) outpatient clinic and research center founded by Bessel van der Kolk. Dr. Fisher has been an invited speaker at the Cape Cod Institute, Harvard Medical School RECOMMENDED ACCOMMODATIONS Conference Series, the EMDR International Association Annual Conference, University of Wisconsin, University of Westminster in London, the Psychotraumatology Institute of Europe, and the Esalen Institute. Dr. Fisher lectures and teaches internationally on topics relating to trauma research and treatment. 9:45 am – 10:45 am SECOND KEYNOTE SESSION Brain to Brain: Dancing the Neurobiological Waltz 1:15 pm – 3:00 pm FIRST AFTERNOON CONCURRENT SESSION Neuroplasticity and Mindfulness in the Treatment of Trauma 3:15 pm – 5:00 pm SECOND AFTERNOON CONCURRENT SESSION Neuroplasticity and Mindfulness in the Treatment of Trauma (This workshop is continued from the first afternoon concurrent session.) RICK HANSEN, PH.D. is a neuropsychologist and writer focused on the essential inner skills of personal 7551 Westminster Highway well-being, psychological growth, and contemplative Richmond, British Columbia practice. His clinical practice includes adults, Phone: (604) 273-7878 couples, families, and children. Dr. Hansen, with Rick Fax: (604) 278-0188 Mendius, M.D., founded the Wellspring Institute for www.starwoodhotels.com Neuroscience and Contemplative Wisdom. His latest book is Buddha’s Brain: The Practical Neuroscience of Happiness, Love and Wisdom. THE SHERATON VANCOUVER AIRPORT offers guests the best of many worlds: the luxury of an upscale experience just minutes to the Vancouver 11:00 am – 12:00 noon THIRD KEYNOTE SESSION International Airport, the convenience of being located in the heart of Mindfulness and Taking in the Good: Using Neuroplasticity Richmond, one of British Columbia’s many business districts, and the to Weave Resources into the Brain and Self pleasure of residing steps from plentiful shopping and unforgettable cultural experiences. 1:15 pm – 3:00 pm FIRST AFTERNOON Amenities include: 24 hour fitness facility, express check-in and check- CONCURRENT SESSION out, laundry service, free wireless high speed access in public areas and Steadying the Mind business centre, luggage storage, 24 hour room service, free airport 3:15 pm – 5:00 pm SECOND AFTERNOON shuttle, 24 hour business centre, outdoor heated pool and whirlpool CONCURRENT SESSION SPECIAL CONFERENCE RATE $149.00 per night plus taxes. Ask for The Loving Brain the Jack Hirose & Associates rate and book prior to October 31st to be eligible for this special rate. Call 604.273.7878 to book. CARDWELL NUCKOLS, PH.D. is described as “one of the most influential clinical and spiritual trainers in North America.” Dr. Nuckols is widely published, having authored more than 60 journal articles, 30 books and workbooks, 50 DVDs, CDs and videos, and 25 audiotape series. His latest publication is entitled The Professional resources for education, Ego-Less SELF: Achieving Peace and Tranquility Beyond mental health and personal growth All Understanding. Dr. Nuckols’ formal educational bookstore.jackhirose.com background includes advanced work in such areas as medical research, pharmacology, neurobiology, education and psychology. Convenient shopping for quality resources for mental health and education professionals For full information on all sessions, including descriptions and learning objectives, visit conference2011.jackhirose.com YOUR REGISTRATION – Please print clearly. Online registration is available at registration.jackhirose.com REGISTRATION FEE INCLUDES: FIVE WAYS TO REGISTER Conference binder with handouts, continental easy online registration, visit conference2011.jackhirose.com For breakfast, mid-morning and mid-afternoon or go directly to registration.jackhirose.com or refreshment breaks, Conference certificate of completion. Lunches are not included. out the form below and fax it to 604.924.0239 or Fill out the form below and mail it to Jack Hirose & Associates Inc Fill 1770 Orkney Place, North Vancouver, BC, Canada V7H 2Z1 or GROUP REBATE Canada’s Premier Psychotherapy and Email us at email@example.com or 3-7 registrants: $20 rebate each Workplace Mental Health Conference us at 1.800.456.5424 Call 8 or more registrants: $40 rebate each If you’re attending the Conference with a group of col- leagues, you may be eligible for a rebate on registration fees. Group rebates only apply to registrants attending all four days. Name Mrs Ms Mr Dr CLAIMING YOUR GROUP REBATE 1. Group members must go to registration.jackhirose.com Position & register online individually with payment in full. Payment must be received by our office before the earlybird deadline. 2. All group members must provide the same group con- Organization tact name as a note on registration. 3. Once all group members have registered and paid on- Address line, the group contact person must contact our office and provide a list of names. This list must be received before the earlybird deadline. We will provide the appropriate rebate City Province Postal Code at that time. Work Phone ( ) Work Fax ( ) FULL-TIME STUDENT REBATE Verified full-time student: $100 rebate Home Phone ( ) Email If you’re currently a full-time student, you may be eligible for a rebate on Conference registration fees. Full-time stu- Upon processing of registration & payment, an emailed confirmation notice will be sent. dent rebates only apply to registrants attending all four days. Please keep me informed of upcoming workshops in my area: By email By post Not at all CLAIMING YOUR FULL-TIME STUDENT REBATE 1. Students must go to registration.jackhirose.com & regis- ter online individually with payment in full. Payment must be received by our office before the earlybird deadline. I will be attending: DAY ONE (Pre-conference, Tuesday, November 29th) 2. All group members must provide the same group con- (Check all that apply) DAY TWO (Wednesday, November 30th) tact name as a note on registration. 3. Full time students must provide a letter from an accredit- DAY THREE (Thursday, December 1st) ed educational institution verifying full time student status. DAY FOUR (Friday, December 2nd) This letter must be received before the earlybird deadline. We will provide the appropriate rebate at that time. REGISTRATION FEES Payment: Payment can be made via cheque, VISA, or Master- card. Sorry, we do not accept purchase orders or American Express Conference Aides: Save up to $400 by working as a conference EARLYBIRD REGULAR aide. Please email Jack Hirose directly at firstname.lastname@example.org. Refunds will be applied after completing assigned tasks. Aides Individual Rate – 1 day $275 $295 must arrive by 7:00 am and be willing to assist at all breaks and Individual Rate – 2 days $450 $470 lunch hour on all 4 days. Exhibitors: The exhibitor fee is $3,000.00 and includes: Individual Rate – 3 days $575 $595 • one 4 day conference pass, valued at $675.00 • one 6 foot draped table at the event Individual Rate – all 4 days $675 $695 • mention on our website For further info on exhibiting, please contact Jack Hirose direct- ly at 604-924-0296 or by email at email@example.com If you’re attending with a group of colleagues, or are a full-time student, you may be eligible for a rebate on Conference fees. Please check the fine print for more detail. Your registration implies acceptance of the special Conference terms and conditions as outlined below. Prices include 12% HST. Cancellations: If you are unable to attend, you are invited to Earlybird cutoff date: November 15, 2011 send an alternate in your place, at no extra cost. Please notify us of the name of the alternate, so that we may correct our records To receive the earlybird rate, registration and payment must be received by this date. and minimize confusion at check in. Refunds will be available, minus $40 administration fee, 14 days or more prior to the Conference. Alternatively, you could receive a credit, minus $40 administration fee, towards future Jack Hi- PAYMENT rose & Associates Inc. training. For cancellations less than 14 days prior to the event, a credit will be available (less $40 admin. fee) towards future Jack Hirose & Associates Inc. training. Non- Cheque VISA Mastercard attendance at the Conference will not be grounds for a refund. In the unlikely event that we have to cancel the Conference, we Card Number will issue a full refund for fees. Note: Conference seats cannot be shared between individuals. Name on Card Expires Our liability is limited to refunds for Conference fees only. Jack Hirose & Associates Inc./EDGEWOOD Treatment Centre reserves Signature the right to cancel the event. Please make hotel & travel arrange- ments with this in mind. Jack Hirose & Associates/EDGEWOOD Treatment Centre is not Please complete and return with your payment made out to: responsible for any presenter’s or participant’s statements, Jack Hirose & Associates Inc. acts, materials, or omissions. Jack Hirose & Associates/EDGE- WOOD reserve the right to replace guest presenters due to 1770 Orkney Place North Vancouver, BC V7H 2Z1 unforeseen circumstances. The use of audio and video taping devices, beepers, and cell phones is not permitted at the Con- Phone 604.924.0296 Toll free 1.800.456.5424 Fax 604.924.0239 ference. Children and unregistered guests are not permitted in Email firstname.lastname@example.org | www.jackhirose.com the meeting rooms.
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