**Registration is open for mental health professionals actively engaged in psychotherapeutic practice**
The personal information you provide on this form is confidential. The personal information requested on this form is collected under the authority of Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act (FOIPP), and will be protected under Part 2 of that Act. It will be used for the purpose of registration for the above named workshop offered by the University of Alberta Counselling and Clinical Services (CCS). For further information, contact CCS at 780-492-5205.