***Workshop Registration Form***
Please enter your information here to register for the Dynamic Relational Therapy workshop(s).
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First Name *
Last Name *
What's your email address? *
What's your phone number? *
Address: Country/City/Province *
What is your education level and field of study? (Example: MA, PhD, PsyD in Psychology, (Ongoing/graduated) *
What is your current profession? *
Where did you hear about this workshop?
Do you need CPA CE credits for completing this course?
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What workshop(s) are you registering for? *

*Please pay the workshop registration fee (by e-transfer to info@drpaulhewitt.ca) and then email us a copy of your payment receipt with your name and the workshop's title you're attending. 

*More information at www.drpaulhewitt.ca/news   
*For any questions email: info@drpaulhewitt.ca  

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