2008 Conference Registration

Registration Form

Name (as you would like it to appear on your nametag including credentials):

Org/School (if applicable):

Address:

City:

State:
Select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip code:

Work phone:

Home phone:

Fax:

E-mail:

Please list any dietary restrictions:

Friday Workshop

Please select one (if attending).

A Mother's Loss Turns to Advocacy, Activism and Hope: How to be an Effective Advocate
The Psychology of Weight Loss

Saturday Workshops

Please rank your top 2 choices per Breakout Session. We will attempt to give you your 1st choice. A workshop with an asterisk (*) indicates that it is intended for Eating Disorder Professionals ONLY.

Breakout Session #1

First choice:
Please select... Money, Empowerment and Recovery * Separating Fat from Fiction: Exploring Myths, Realities, and Assumptions CBT and Twelve Steps: Finally in Harmony * The Application of Dialectic Behavior Therapy to Eating Disorders *

Second choice:
Please select... Money, Empowerment and Recovery * Separating Fat from Fiction: Exploring Myths, Realities, and Assumptions CBT and Twelve Steps: Finally in Harmony * The Application of Dialectic Behavior Therapy to Eating Disorders *

Breakout Session #2

First choice:
Please select... Body Dysmorphic Disorder: The Eating Disorder Version * Broken Bonds: Attachment Issues in Clients with Eating Disorders ADD and Eating Disorders: What Clinicians Should Know Internal Family Systems *

Second choice:
Please select... Body Dysmorphic Disorder: The Eating Disorder Version * Broken Bonds: Attachment Issues in Clients with Eating Disorders ADD and Eating Disorders: What Clinicians Should Know Internal Family Systems *

Breakout Session #3

First choice:
Please select... Working Together: Treating Borderline Personality Disorder and Eating Disorders * Art and Dance Movement Therapy in the Treatment of Eating Disorders Self Harm and Eating Disorders: An Effective Eclectic Approach *

Second choice:
Please select... Working Together: Treating Borderline Personality Disorder and Eating Disorders * Art and Dance Movement Therapy in the Treatment of Eating Disorders Self Harm and Eating Disorders: An Effective Eclectic Approach *

Total: $0.00