Registration form

Name

Surname

Phone

Date of birth

Country, city

Profession

Membership in the psychotherapeutic/psychoanalytic community

In what long-term programs for psychoanalytic psychotherapy/ psychoanalysis for children have you been trained /or are you currently being trained (include name of organization)

The nature and duration of work experience with children and adolescents

The number of accompanying persons

–+

Names of the accompanying persons

Organizational fee Payment before 05.09.2023The ability to select two answers at once

* the amount of the organizational fee for the main participants includes: participation in the main program of the School, handouts, meals (tea and coffee during breaks, lunch, dinner), individual supervision, translation of group formats of events, participation in the welcome party and the closing banquet, sightseeing and cultural program.** the benefits are provided to the members and candidates of the titular organizations: Society for Child Psychoanalytic Psychotherapy (Moscow), Stavropol Regional Psychoanalytic Association (Stavropol), and Armenian Society for Psychoanalytic Psychotherapy (Armenia)*** The amount of the organizational fee for accompanying persons includes: meals (lunch, dinner), participation in the closing banquet, sightseeing and cultural program.****the increase of the organizational fee is not applied when paying in EUR or AMD

full organizational fee* - 28 000 RUB/ 305 EUR/ 128 000 AMD
preferential organizational fee ** - 23 000 RUB/ 250 EUR/ 106 000 AMD
organizational fee for accompanying persons*** - 9 000 RUB/ 99 EUR/ 41 000 AMD

Organizational fee Payment after 05.09.2023 The ability to select two answers at once

* the amount of the organizational fee for the main participants includes: participation in the main program of the School, handouts, meals (tea and coffee during breaks, lunch, dinner), individual supervision, translation of group formats of events, participation in the welcome party and the closing banquet, sightseeing and cultural program.** the benefits are provided to the members and candidates of the titular organizations: Society for Child Psychoanalytic Psychotherapy (Moscow), Stavropol Regional Psychoanalytic Association (Stavropol), and Armenian Society for Psychoanalytic Psychotherapy (Armenia)*** The amount of the organizational fee for accompanying persons includes: meals (lunch, dinner), participation in the closing banquet, sightseeing and cultural program.****the increase of the organizational fee is not applied when paying in EUR or AMD

full organizational fee* - 30 000 RUB/ 326 EUR/ 138 000 AMD
preferential organizational fee ** - 25 000 RUB/ 270 EUR/ 115 000 AMD
organizational fee for accompanying persons*** - 9 000 RUB/ 99 EUR/ 41 000 AMD

Choose payment method

* If you have to cancel your participation, please do it as soon as possible! No refunds will be given in case of cancellation after 01.10.2023.

By transfer to the card number 2202 2061 0546 0971 (in the name of Kseniya Sergeyevna S. The card is attached to the number +79054439645), indicating the name of the participant, with a note School. After payment make sure that the money is received by writing a text message on the phone: +79054439645 (Kseniya Simonenko)

Payment in cash to the members of the Organizing Committee of the School Payment in EUR or AMD will be accepted at the time of registration, before the start of the main events of the School - by Ksenia Simonenko

When would it be convenient for you to pay?

Choose the date

Specify the need for the transfer:

You can pay in cash when you meet the Organizing Committee.

No transfer needed
October 13, 3:30 pm (Yerevan Airport)
October 17, 12:00 noon (Gyumri)