Event Registration Event Registration Event Name and Date Your Name * Email Address * Phone Number * Please provide your phone number in case there are any last minute changes to the event that we need to notify you about. Candidate or Student Information If you are registering as a candidate or student, please provide the name of the program in which you are enrolled and, if applicable, your student ID. Program Fee * Please enter the fee from the event description according to your status. Do not include a dollar sign. We use PayPal to process credit cards. You do not need a PayPal Account to use this option. Please tell us a little bit about yourself: Occupation? Educational background/ degree(s)? Psychoanalytic institute affiliation? Questions, Comments If you are human, leave this field blank.