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 Linda GrahamArt KleinerRosalind Watts
June 29-July 3, 2020 Margaret BlausteinGervase BusheAnatasia Kim
July 6-10, 2020 Deb DanaPaul FoxmanRubin NaimanRobert Hartl
July 13-17, 2020 Richard SchwartzFlint SparksMolly Eldridge
July 20-24, 2020 Hendrix/Hunt/KramerJohn/Jamie ForsythElkhonon GoldbergLana Epstein
July 27-31, 2020 Bessel van der KolkMaria SiroisDeborah PlummerLicia Sky
August 3-7, 2020 Janina FisherDonald MeichenbaumGeorge McCloskey
August 10-14, 2020 Edward HallowellWeintraub/HuebnerDeborah Korn
August 17-21, 2020 Sheldon SolomonJoe KortMirabai BushSueAnne Piliero
August 24-28, 2020 Jonah PaquetteCathy Malchiodi
Name and Address
 Name   Degree 
 Country 
Address 
 City 
 State   Postal Code 
E-mail   Phone 
 Profession 
If "Other", please specify:
Check box if you have previously
attended the Cape Cod Institute
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