Online Registration: STEP ONE | Register for Jack Hirose & Associates workshops

STEP ONE
STEP TWO
STEP THREE
STEP FOUR

Your Info

Honorific
First Name * Last Name * Address * City * Country * Work Telephone *

No spaces, e.g. 1234567890

Email *

Some of this information will appear on your name badge and certificate. Please double check your information.

* required field

Province/State * Postal/Zip Code * Home Telephone

No spaces, e.g. 1234567890

Fax

Please keep me informed about future workshops

Your privacy is important to us! You may unsubscribe at any time and we will never publish or sell our email list.

Affiliation

Field of Work
Organization
NOTES

Choose Your Workshop

Please select your event to see registration options (STEP TWO):

Your registration implies acceptance of our Terms & Conditions and Privacy Statement.
Please review this information below.

Terms and Conditions

ALL PRICES ARE IN CAD$.

Registration forms submitted without payment information will not be processed. Submission of registration forms without payment will not guarantee the earlybird rate – to qualify for the earlybird rate, full payment must be received by the cutoff date. Payment is required to attend our events. If payment is not received prior to the event, individuals must pay at the door.

Cancellations: If you are unable to attend, you are invited to send an alternate in your place, at no extra cost. Please notify us of the name of the alternate 14 days prior to the event, so that we may correct our records and minimize confusion at check in.

All cancellations must be provided by email at registration@jackhirose.com. Refunds will be available, minus a $40 administration fee, for cancellations made 14 days or more prior to the event. For cancellations less than 14 days prior to the event, credit minus a $40 administration fee will be available. No refund or credit under any circumstances will be available for cancellations less than one full business day prior to the event. Always refer to the workshop brochure for the specific terms and conditions.

Our liability is limited to refunds for workshop fees only. Jack Hirose & Associates Inc. reserves the right to cancel the workshop; please make hotel & travel arrangements with this in mind. In the unlikely event that we have to cancel a workshop, we will issue a full refund for workshop fees.

Note: Jack Hirose & Associates is not responsible for any presenter's or participant's statements, acts, materials, or omissions. The use of audio and video taping devices, beepers, and cell phones is not permitted at any workshop. Children and unregistered guests are not permitted in the meeting rooms. Seats cannot be shared between individuals.

Privacy Statement

What information is collected and how it is used

Personal data collected through this site consists of information submitted voluntarily during the registration process, including your name, job title, organization, mailing address, telephone and fax numbers and e-mail address. Access to data is limited to staff of Jack Hirose & Associates and others authorized to process registrations and organize the workshop.

Online conference registration and credit card processing

All credit card payment information is communicated using industry-standard SSL 128-bit encryption. Look for the lock icon on your browser window to confirm this. Credit card information is NOT stored; transaction and authorization codes are.

Rebates

GROUP REBATES:
Group rebates available for groups of 6 or more:

One day workshop: $20 rebate per person
Two day workshop: $30 rebate per person
Three day workshop: $30 rebate per person

CLAIMING YOUR GROUP REBATE

All group members must register and pay online in full before the earlybird deadline. Note: the $10 online discount is included in the group rebate.

To receive the group rebate, the group contact person must email the final list of names to registration@jackhirose.com by the earlybird cutoff date. No add-ons to the group list will be accepted thereafter. Rebates will be processed within 1 to 5 business days and new receipts will be emailed to all group members.

STUDENT REBATES:

One day workshop: $30 rebate per person
Two day workshop: $40 rebate per person
Three day workshop: $40 rebate per person

CLAIMING YOUR STUDENT REBATE

All students must register and pay online in full before the earlybird cutoff. Note: the $10 online discount is included in the student rebate.

To qualify, a letter from an accredited educational institution, verifying full time enrollment, must be emailed to registration@jackhirose.com before the earlybird cutoff date. Rebates will be processed within 1 to 5 business days and new receipts will be emailed to qualified students.

No group or student rebates available for the 4-Day TEAM Intensive with Dr. David Burns.

Workshop Aides Program

Save $115 on a one day workshop, $190 on a two day workshop, $290 on a three day workshop, and $400 on the 4-Day TEAM Intensive with Dr. David Burns.

In order to receive the discount, workshop aides must arrive by 7:00am on all days of the event and be willing to assist at all breaks, throughout the lunch break, and stay 30 minutes after the end of the workshop.

Typical workshop tasks include assisting at our registration table (handing out name tags and handout packages); assisting with book selling (processing payment, writing receipts); assisting with meeting room layout; assisting with catering; clean up duties as needed; and collecting evaluation forms. Please keep in mind that we can accommodate a maximum of 3 workshop aides per workshop.

To inquire about the workshop aides program, please email Jack Hirose directly at jackhirose@shaw.ca.

Continuing Education Credits

Canadian Psychological Association, Canadian Counselling and Psychotherapy Association, Canadian Addiction Counsellors Certification Federation, Association of Social Work Boards, Vocational Rehabilitation Association, Canadian Professional Counselling Association, Employee Assistance Certification Commission (EAPA)

Certificates

Certificates will be provided at the end of the workshop for pre-registered attendees only. Certificates or receipts can be downloaded from our website, free of charge, at certificates.jackhirose.com. A $25 administration fee will apply for hard copies sent by post.

Receipts

Receipts are automatically sent by email when registering and paying online. Please be aware email receipts can be blocked by spam filters. Additional copies can downloaded from certificates.jackhirose.com.

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