Student Registration Form 2020

Please fill out this student registration page and attach proof of your education enrollment.

Your documentation will be reviewed and you will be contacted by email when your registration is available for your completion,
or we will contact you if we require additional information.

Courses
June 22-26, 2020 GrahamKleinerWatts
June 29-July 3, 2020 BusheBlausteinWeek2OPEN
July 6-10, 2020 DanaFoxmanNaiman
July 13-17, 2020 SchwartzSparksWeek4OPEN
July 20-24, 2020 GoldbergHendrix/HuntForsyth
July 27-31, 2020 van der KolkSkyPlummerSirois
August 3-7, 2020 FisherMeichenbaumMcCloskey
August 10-14, 2020 HallowellWeintraub/HuebnerKorn
August 17-21, 2020 SolomonEldridgeWeek9OPEN
August 24-28, 2020 PaquetteMalchiodi
Name and Address
 Name   Degree 
 Country 
Address 
 City 
 State   Postal Code 
E-mail   Phone 
 Profession 
If "Other", please specify:
Have you previously attended
the Cape Cod Institute
Yes
No
Tuition
Resident physicians / Graduate student price   $575.00 U.S.
For each additional course   $525.00 U.S.
Total for 0 courses selected   $0 U.S.
Student Verification
Total cost for registration   $ U.S.

Please provide your proof of enrollment 
at an accredited college or university 

We will accept a copy of your student ID, or a copy of your tuition bill. 

 

To register by fax, phone or post instead