Registration forms will be accepted on a first-come first-served basis.Last name First name Profession Address. Street. Zip Code. City Country E-mail Mobile Phone Tustin Trust / PTPP Member / Candidate: - Select -NoYesSpecial dietary needs: No Vegetarian menu Vegan menuPreviousNextPre-Conference Seminars (June 23, 2022):Pre - Conference Seminars (June 23, 2022; 7pm - 9pm) I will NOT participate I will participate 45 EURI am willing to present a case during the Conference clinical seminar: No YesPlease specify your three preferences (marked as 1, 2, 3)The seminar by Suzanne Maiello, PhD is addressed to child therapists/analystsPreferred: First choiceJosien Gussenhoven (Holland)Chiara Cattelan, MD (Italy)Joel Miller (Israel)Nilofer Kaul, PhD (India)Suzanne Maiello, PhD (Italy)Alina Schellekes (Israel)Preferred: Second choiceJosien Gussenhoven (Holland)Chiara Cattelan, MD (Italy)Joel Miller (Israel)Nilofer Kaul, PhD (India)Suzanne Maiello, PhD (Italy)Alina Schellekes (Israel)Preferred: Third choiceJosien Gussenhoven (Holland)Chiara Cattelan, MD (Italy)Joel Miller (Israel)Nilofer Kaul, PhD (India)Suzanne Maiello, PhD (Italy)Alina Schellekes (Israel)5:15pm – 6:45pm Parallel seminars presenting main ideas in Frances Tustin’s theoretical and clinical thinking (free of charge): I will NOT participate I will participate in Ehud Wolpe (Israel) seminar I will participate in Chiara Cattelan, MD (Italy) seminarPreviousNextConference feesConference fees in EUR Albania, Belarus, Bosnia and Hercegovina, Bulgaria, Croatia, the Czech Republic, Estonia, Hungary, India, Latvia, Lithuana, Macedonia, Moldova, Montenegro, Poland, Russia, Romania, Serbia, Slovakia, Slovenia, Turkey, Ukraine 3050 EUR Other countries 350 EUR PTPP members/candidates 280 EUR FTMT members 315 EUR Parallel sessions speakers 150 EUR FTMT Board Members 0 EURParallel clinical seminars during the conference, on Saturday (included in the conference fee) Please specify your three preferences (marked as 1, 2, 3)The seminar by Suzanne Maiello, PhD is addressed to child therapists/analystsPreferred: First choiceProfessor Dana Amir (Israel)Chiara Cattelan, MD (Italy)Josien Gussenhoven (Holland)Nilofer Kaul, PhD (India)Suzanne Maiello, PhD (child therapists/analysts) (Italy)Alina Schellekes (Israel)Preferred: Second choiceProfessor Dana Amir (Israel)Chiara Cattelan, MD (Italy)Josien Gussenhoven (Holland)Nilofer Kaul, PhD (India)Suzanne Maiello, PhD (child therapists/analysts) (Italy)Alina Schellekes (Israel)Preferred: Third choiceProfessor Dana Amir (Israel)Chiara Cattelan, MD (Italy)Josien Gussenhoven (Holland)Nilofer Kaul, PhD (India)Suzanne Maiello, PhD (child therapists/analysts) (Italy)Alina Schellekes (Israel)I am willing to present a case during the Conference clinical seminar: No YesPreviousNextSpecial event: Saturday Night Gala Dinner, June 25, 2022Saturday Night Gala Dinner, June 25, 2022 (EUR) I will NOT participate I will participate, 1 person 60 EUR I will participate, 1 person and 1 accompanying person 120 EURSightseeing tours Please mark the sightseeing tours you are interested in. Their final price will depend on the number of participants. The average cost will be around 20€. The details will be sent by e-mail.Tours I will NOT participate Tour 1: A walk through Zamenhoffa and Anielewicza streets – Time travel through Warsaw: Following Irena Sendler’s footsteps (Sunday, June 26) Tour 2: Fryderyk Chopin Museum in Warsaw (Thursday, June 23) Tour 3: Palace of Culture and Science – a living testimony of the times of socialism (Sunday, June 26) Tour 4: Zacheta – National Gallery of Art – museum where the most interesting phenomena of 20th and 21st century art are presented (Thursday, June 23) Tour 5: Museum of The History of Polish Jews POLIN (Thursday, June 23)No payment items has been selected yetComments I declare that I have read the information clause on personal data processing and I give my explicit consent to the processing of my personal data by FTMT based in Israel for the Trust to send information about any subsequent conferences and other initiatives organized by the Frances Tustin Memorial Trust to the above e-mail address; The PTPP to send information about any subsequent conferences organized by PTPP to the above e-mail address.Giving this consent is voluntary. The personal data processing shall be based on Article 6 paragraph 1 item a of the Regulation of the European Parliament and of the Council (EU) 2016/679 of 27 April 2016 on the protection of individuals with regard to the processing of personal data and on the free movement of such data and repealing Directive 95/46/EC (i.e. processing takes place based on the explicit consent of the data subject). By giving consent to the transmission of information by the Frances Tustin Memorial Trust, data is transferred outside the European Economic Area. In order to withdraw the consent, please contact us at the following e-mail address: info@ptpp.plAre you fully vaccinated against Covid – 19? Yes NoIf you are vaccinated, will your COVID-19 vaccination certificate still be valid on June 23-26, 2022? Yes NoThe website regulations (the full text is available here) YesPayment Method Pay with Card (Stripe) Pay with PayPalPay with Card (Stripe) Previous Submit Form
