IntroductiontoJung

TheSocietyofAnalyticalPsychology

Fridaytea-time,March9ththroughtoSundaybrunch,March11th2018

LakeViewCountryHouse,LakeViewDrive,Grasmere,LA229TD

Confidentialapplicationbookingform

Yourdetails

Title:

FirstName:

Surname:

Address:

Postcode:

Phone:

Mobile:

Email:

Genderidentity:

Dateofbirth:

Accessibility/dietaryneeds:

PleasenotethattheSAPendeavourstoensurethatitsactivitiesareaccessibletoallpotentialparticipants. LakeViewCountryHousehasonegroundfloor,twin-bedded,en-suiteroom(Garden). Accesstothefrontdooriscurrentlybyastepbutthiscanbealteredbyatemporaryramp.

N.B.ItcanrainorbewindyattimesintheLakeDistrict.Pleasecomepreparedwithsuitablewalking/outdoorclothing,suitablewalkingbootswellingtons.

IntroductiontoJung

TheSocietyofAnalyticalPsychology

Fridaytea-time,March9ththroughtoSundaybrunch,March11th2018

LakeViewCountryHouse,LakeViewDrive,Grasmere,LA229TD

PleaseletusknowhowyouheardaboutthisSAPweekend:

Tohelpusformbalanceddiscussiongroups,pleaserespondtothefollowingquestions:

  1. Pleaseexplainbrieflywhatyouarehopingforfromtheweekend:
  1. Areyoucurrentlyorhaveyoupreviouslyattendedpersonalcounselingorpsychotherapy?Ifsopleasegivebriefdetails.
  1. Pleasedescribeyourcurrentoccupationoremployment(whetherpaidorvoluntary):
  1. Theweekendismainlydesignedforthoseinthecounselingandpsychotherapyprofessions,fortraineesinthatarea,andforthoseworkinginthefieldofmentalhealth.Ifthisisnotorhasnotbeenyourcareer,pleasebrieflydescribeyourinterestintheweekend‘IntroductiontoJung’:
  1. Pleaselistyourqualifications,professionaltraining,otherrelevantlearningexperience,andanyprofessionalclinicalexperience(e.g.inthementalhealthfield):

IntroductiontoJung

TheSocietyofAnalyticalPsychology

Fridaytea-time,March9ththroughtoSundaybrunch,March11th2018

LakeViewCountryHouse,LakeViewDrive,Grasmere,LA229TD

Fees-allfeesarepayableinfullatthetimeofbooking.

Mini-bustransfersfrom/toWindermererailwaystation–add£10/person.

The hotel has one King-size room that remains available.

KingSizedRoom– Course, Full Board & Accommodation

Option 1:one person in akingsizedroom - £440

Option 2:two people sharing a king sized room - £360/person

Alternative accommodation, just a few minutes away from Lake View Country House, can be recommended for those who are not local.

Local attendees

Course,refreshmentsafternoonsnacks,Cumbrianbrunch(SatSun)-£235/person

Optional dinner Friday and Saturday evening - £20 each evening

Non-localattendees

Course & full board -£275/person

Fullboardincludesrefreshmentsafternoonsnacks,lightbreakfast(SatSun),Cumbrianbrunch(SatSun)two-coursedinner(FriSat).

Bookingconditions:

Wereservetherighttochangeaspeakeratoneofoureventswithoutofferingarefund.Regrettably,refundscannotbegiveninanycircumstancesexceptasfollows:

60daysbeforethefirstdateoftheeventyouhavebooked,inwhichcaseyouwillbeentitledtoa100%refund.

30daysbeforethefirstdateoftheeventyouhavebooked,inwhichcaseyouwillbeentitledtoa50%refund.

Cancellationsdonotapplytopartsofanevent.Youmaygiveyourplacetoanotherpersonifyouletusknowthatperson'snameatleast72hoursbeforetheeventbegins. Ifoneroommatecancelsasharedroomandyouarenotabletofindanotherroommate,theremainingpersoninthatroomwillliableforthefullfeesforthatroomasifitwerebookedforoneperson.

Wereservetherighttoaskaparticipanttoleavethecourseifdeemedinthebestinterestoftheparticipantorthecourse.Insuchacase,outstandingfeeswouldberefunded.

IntroductiontoJung

TheSocietyofAnalyticalPsychology

Fridaytea-time,March9ththroughtoSundaybrunch,March11th2018

LakeViewCountryHouse,LakeViewDrive,Grasmere,LA229TD

Pleaseindicatepreferencesbychecking:

Minibustransfer(from/toWindermeretrainstation) £10

AccommodationOptions

Please check one of options a-e

a)ResidentialKingsizeoption1(notsharing) £440 ☐

Course, Full Board & Accommodation

b)ResidentialKingsizeoption2(sharing) £360 ☐

Course, Full Board & Accommodation

IfResidentialoption2 is chosen,pleasegivethefullnameofthepersonwithwhomyouaresharing(eachneedstocompleteanapplicationform):

Non-residential option

£235 ☐

Course, refreshments & afternoon snacks, Cumbrian brunch

Optional Friday 2-course evening meal £20☐

Optional Saturday 2 course evening meal £20☐

Totalfee £

IntroductiontoJung

TheSocietyofAnalyticalPsychology

Fridaytea-time,March9ththroughtoSundaybrunch,March11th2018

LakeViewCountryHouse,LakeViewDrive,Grasmere,LA229TD

Agreement:

‘IntroductiontoJung’isanintroductorycoursefordevelopingadeeperknowledgeandunderstandingofJungianandpost-Jungianconceptsandtherapeuticpractice.‘IntroductiontoJung’isneitheraformoftreatmentnoratherapeuticintervention.

IagreetotheSAPusingtheinformationIhaveprovidedtoprocessmyapplicationandforstatisticalpurposes.Otherthanbasiccontactdetails,theSAPwillnotstorethisinformationbeyondthetrainingweekend.

IgivepermissionfortheSAPtosendmeinformationaboutotherrelevantSAPtrainingevents(pleasedeletethissentenceifnotwanted).

Signature:Date:

(atypedsignatureisacceptable)

PleaseemailyourcompletedformtoourhostRoselynAbbott:

Toliaisebetweenyou,thehotelandtheSAP,Roswillthenphoneoremailyoutodiscussandagreeyourpreferencesregardingtheavailabilityofaplaceonthecourse,and(whererelevant)youraccommodation,accessibilityneedsetc.Onceagreed,Roswillinvoice you on behalf of the SAP, and provide you with abookingreferencenumber.

Yourplaceontheweekendisbookedonlyoncethe SAPhas receivedyourpaymentinfull.Inthecaseofasharedroom,bookingdependsonourreceiptofbothformsandbothpaymentsinfull.

Youcanpay:

  • BybanktransfertotheSAP:

HSBC,Sortcode:40-03-02,Accountnumber:71384686

Paymentreference:JungNW/bookingreferencenumber

  • BysendingachequepayabletotheSAP,withyourJungNW/bookingreferencenumberwrittenonthebackofthecheque,alongwithapapercopyofyourcompletedformto:

PublicEventsAdministrator,SocietyofAnalyticalPsychology

1DalehamGardens,LondonNW35BY

  • By credit card quoting your JungNW/booking reference number– phone Venice Vanderlanh Smith at the SAP on 020 7435 7696

1

The Society of Analytical Psychology, 1 Daleham Gardens, London, NW3 5BY