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Webinar Registration Form
PORTLAND INSTITUTE FOR LOSS AND TRANSITION
Collage: Practicum Studio
July 31, 2020 (Friday), 9am-11:30am, PDT
IMPORTANT! Site members please log in to link your data from the certification program.
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Personal Particulars: (for site members, please login to auto fill the basic information)
State / Province (if applicable)
Other Special Needs (if any)
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*Name of Organization
*Address of Organization
*Type of Organization
Hospice / Palliative Care
Counsellor / Therapist
Clergy / Pastoral Care
Marriage & Family Therapist
Physician / Nurse
Professor / Lecturer
Art or Expressive Arts Therapist
Join this live stream webinar with an accompanying Course Pack and Responsive Journal,
as well as the opportunity to interact through breakouts and the question and answer period.
*One registration is only intended for one participant and cannot be shared among multiple learners.
Please kindly indicate which session you would like to join:
NOTE: For registrants who wish to enroll in Certification Program,
the total price will be above price + $100 Enrollment Fee
**Participants in this live stream webinar are eligible for certification credit for 1 Practicum Session.
Please make sure your code is correct
Event Subtotal (USD):
Est. Taxes & Fees(USD):
Est. Event Total (USD):
no promotion code applied
Terms and Conditions
1. You will receive a confirmation of registration via email upon payment completion.
2. Refund policy
Should you be unable to attend the “Collage: Practicum Studio” live stream webinar as registered, you may write in to the Portland Institute (PI) to request for withdrawal and refund according to the following guidelines:
a) 1 week before webinar commences: refund minus 10% service fee
b) Within 1 week before webinar commences: No refund permitted
3. PI reserves the right to make any necessary changes to the webinar program without prior notice to the registrants.
By registering for the “Collage: Practicum Studio” live stream webinar, I acknowledge and agree with the above-mentioned terms and conditions. I consent to the use of my personal data and payment details for this registration.