CINCINNATI PSYCHOANALYTIC INSTITUTE
2007-08 EXTENSION & WORKSHOP REGISTRATION
Please print & return this registration to :
CINCINNATI PSYCHOANALYTIC INSTITUTE - 3001 HIGHLAND AVENUE, SUITE C - CINCINNATI, OH 45219
OR: send an e-mail message by clicking here : EXTENSION & LECTURE REGISTRATION
Name: Degree:
Work Address: City: State: ZIP:
Home Address: City: State: ZIP:
Telephone Numbers (Including Area Codes): Office: Home: E-Mail Address:
Krug Lecture - May 16, 2008 with Drs. Jack & Kerry Novick
WORKSHOP- How to build alliances parents & children who may not respond to traditional kinds of intervention- 12:30 - 3:00 PM
Junior League Columbia Center- # of interested persons ($35.00 includes box lunch)
BUILDING EMOTIONAL MUSCLE IN PARENTS-7:00 -9:00 PM - Cincinnati Art Museum -# of interested persons
Please choose dinner preference ($50.00 includes dinner & lecture)
Vegetable Terrine Prime Rib with Mushroom Au Jus
Halibut Filet with Chardonnay Cream Sauce Chicken Breast with Gorgonzola Cream Sauce
To register on line- please fill in the above information then click on the SUBMIT button
Please submit payment and a copy of your registration form for the event to :
Cincinnati Psychoanalytic Institute - 3001 Highland Avenue, Suite C - Cincinnati, OH 45219