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|Group Schema Therapy Training (GST), London, 20 March – 24 March 2017 |

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|Registration Form |

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|Joan Farrell and Ida Shaw have now led 7 Group Schema Therapy workshops in London. They will be returning to London over the period |

|20 March -24 March 2017 as part of their World Spring Training Tour to provide the opportunity for people who have attended previous |

|trainings to do more advanced workshops, as well as providing training to people who wish to begin working in a GST way, want to begin|

|following the proposed ISST accreditation programme, or who simply wish to undergo training in GST. We will be providing workshops |

|for beginners, intermediates and advanced levels. |

|Please annotate your preferred option(s) below: |Yes/No | |

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|Option 1: three-day introduction: 2-day didactic; 1 day of self-therapy/ group | | |

|practice (Monday 20 March - Wednesday 22 March 2017) | | |

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|Option 2: four-day introduction: 2-day didactic; 1-day self-therapy /group | | |

|practice; 1-day group practice with feedback and observation (Monday 20 March-Thursday 23 March 2017) | | |

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|Option 3: five-day workshop: includes option 2 & then 1-day supervised | | |

|Group work (Monday 20 March - Friday 24 March 2017) | | |

|Option 4: one-day supervised group work for those who have previously completed | | |

|the introduction training (Wed 22 March 2017) | | |

|Option 5: one-day supervised group work for those who have previously completed | | |

|the introduction training (Thur 23 March 2017) | | |

|Option 6: one-day supervised group work (Friday 24 March 2017) | | |

|Only people who have previously had 4 days of GST training (including those earlier in the week) can apply for this| | |

|day. This day is likely to be limited to 20 people. | | |

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|The cost of the workshops include all-day refreshments and lunch. | |

|The cost of the three-day workshop is: |£750 | |

|The cost of the four-day workshop is: |£1,000 | |

|The cost of the five-day workshop is: |£1,250 | |

|The cost of each one-day workshop (options 4, 5 or 6) is: |£250 | |

|Name: | |

|Work e-mail: | |Personal e-mail: | |

|Address: | |

| | |Postcode: | | |

|If paying by cheque, please make it out to “Schema Therapy Workshops”. Please note that places are not guaranteed until payment has been made. If | |

|you wish us to invoice your organisation, giving accurate details below including a Purchase Order number, if necessary, to include in this | |

|registration sheet will help expedite this process. Your personal e-mail address is being requested because Joining Information and handouts tend to| |

|‘bounce back’ from Organisational e-mail addresses. | |

|Name & address of person/department we should invoice (including postcode): | |

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|NHS Purchase Order number if applicable: | |

Please return this form by using the reply button or to: info@, or by post to Schema Therapy Workshops, 3 Cork drive, Pontprennau, Cardiff, CF23 8PU

Website: for details of other workshops:

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