Please submit this form only if you are ready to register and pay for one of our courses. Otherwise, please contact us at 604-808-3703 or e-mail if you have any questions or require more information.

* Required field

Course *

Please select a course HP202 HP301 ADV400 ADV401 ADV400,ADV401 ADV3 BC1 BC2 BC1,BC2

Individual Courses (ADV401) (optional)

DSM 5 #S(Individual price - $398)#E Group Therapy #S(Individual price - $398)#E Supervision #S(Individual price - $450)#E

Individual Courses (ADV400) (optional)

Abnormal Psychology #S(Individual price - $398)#E Family Therapy #S(Individual price - $398)#E Ethics in Counselling #S(Individual price - $398)#E

Payment Plan *

* Required field

Name *

Username *

Password *

Confirm Password *

Email Address *

Confirm email Address *

Captcha *

Title (optional)

Date of Birth: *

Social Insurance Number: (optional)

Organization (optional)

Address 1: *

Address 2: (optional)

City: (optional)

State/Province: (optional)

Country: *

Postal/ZIP Code: *

Phone: *

WorkPhone (optional)

Fax (optional)

Website: (optional)

Referral *

Google Google Ad Google Plus Friend/Colleague Facebook Blog Youtube Bing Other Search Engine Tumblr e-mail newsletter Hypnothoughts Other

Email body for Free Into Registration (optional)

Register