2023 Rego Site

2023 NPHTI Workshop Registration

Welcome to the 2023 NPHTI Workshop Registration site.

You can register for either workshop on this site:

SYDNEY: 4 - 6 November 2023
ADELAIDE: 10 - 12 November 2023

Persons who have held a previous NPHTI Australia registration.

If you have previously registered for a NPTHI workshop, you can use your previous account details and password to login in.

New Registrations

If this is your FIRST TIME to register for a workshop, you will need to create an account to register. Please click on the "Create a new user account" tab below, you will then need to choose a log in email address and password. On the next page you will then begin the registration process.

Please note: Even if you are a SPANZA Member, you will need to create a new account. This is not connected with your SPANZA membership at all..

If you have any difficulties with this site, please contact the Conference Secretariat by email secretariat@spanza.org.au or by phone +612 4973 6573.

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NPHTI Workshop Registration

Please note that this event is being managed as agent for and on behalf of Society of Paediatric Anaesthetists in Australia and New Zealand, Inc (ABN 44 639 760 994) (“SPANZA”) by Will Organise Pty Ltd (ABN 35 611 514 213). The information you provide when you submit your personal information to us will be collected by Will Organise Pty Ltd and will be shared with SPANZA and other participants in the event, as set in our privacy collection statements, privacy policy and specific consents contained on this site.

Please note, all fields marked with a red asterix are REQUIRED fields.

Contact Details

Please enter the contact details below of the person attending the workshop. The name as entered below will appear on the name badge.

Title (Dr, Prof , Ms, Mr etc)

First Name

Last Name

Organisation

Position

Email Address

Verify Email Address

Mobile phone

Address Line 1

Address Line 2

City

Country

State

Postcode

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Registration

Please select your choice of location below.

If 'FULL' is showing next to the venue, this indicates it is now fully allocated.

2023 Sydney NSW FULL

AMOUNT

2,850.00

TOTAL

2023 Sydney NSW FULL

AMOUNT

3,050.00

TOTAL

2023 Adelaide SA FULL

AMOUNT

2,850.00

TOTAL

2023 Adelaide SA FULL

AMOUNT

3,050.00

TOTAL

Workshop Level

Number Of

Fundamentals Course - Sydney FULL

Number Of

Fundamentals Course - Adelaide FULL

Number Of

Utilisation Course - Sydney only FULL

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Accommodation: Sydney and Adelaide

To book accommodation, please select your check in and check out date from the fields below and hit 'SEARCH'.

Available options will then appear and you can choose your room.

If you find you cannot book the dates you want, please contact the SPANZA Secretariat: secretariat@spanza.org.au with your requirements as we may be able to secure additional room nights to match your needs.

WORKSHOP DATES

Sydney: Saturday 4th - Monday 6th November

Adelaide: Friday 10th - Sunday 12th November

If you do not want accommodation , please indicate below.

No Accommodation Required

Check-In Date

Check-Out Date

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Parkroyal Darling Harbour

Photos

Superior Room
Photos

NOT AVAILABLE

Room Description

Enjoy the spacious 32sqm, Superior guestrooms with a large marble bathroom and separate walk-in shower. Located on the Sydney CBD side of the hotel, the Superior rooms comfortably fit an additional rollaway bed if required. 1 x breakfast is included in the room rate.

Adelaide

Previous Next

Stamford Plaza Adelaide

Photos

Superior Room
Photos

NOT AVAILABLE

Room Description

Located on either the city or park side of the hotel, our recently refurbished Superior Rooms will ensure you experience the ultimate in comfort. Featuring the option of a king bed or twin share, these city hotel rooms provide a fresh and welcoming atmosphere. 1 x Breakfast is included in room rate.

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Background and Experience

The following information is used to help group you in the small workshop groups throughout the course.

All fields marked with a red asterix are required to be completed.

1: What is your current profession?

2: Please list your degrees/qualifications.

3: Professional Registration Details

4: For how many years have you been practicing in your profession?

5: Have you had previous hypnosis training?

Yes

5a) What organisation/s have you trained with?

5b) What are your total hours of hypnosis training?

5c) Indicate the total hours of directly supervised practica of hypnosis skills during this training.

5d) If you have certification of your hypnosis training, please specify (e.g. Diploma of Clinical Hypnosis)

6: Have you had PAEDIATRIC specific hypnosis training?

Yes

6a) Which paediatric organisation/s have you trained with?

6b) What are your total hours of paediatric hypnosis training?

6c) Indicate the total hours of directly supervised practice of hypnosis skills during this paediatric training.

6d) If you have certification of your paediatric hypnosis training, please specify (e.g. Diploma of Clinical Hypnosis)

6e) Please specify which organisation/s and what certification/s you have received in paediatric specific training.

7: Are you using hypnosis with children/teens currently in your clinical practice?

Yes

7a) How often do you use hypnosis with children/teens currently (e..g.: daily, once a week)?

Daily

Less than weekly

Once a week

From 1 - 7 days a week

7b) Please provide the approximate total number of children/teens with whom you have used hypnosis

8: Please specify your typical paediatric clinical conditions

Anxiety

Gut Issue

Other

Pain

9: Please specify your typical pediatric clinical settings

Other

outpatient pain program

Pre-op

primary care

psychotherapy clinic

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Delegate list consent

In registering for this event relevant details may be incorporated into a delegate list for the benefit of all attendees and may be made available to parties directly related to this event. Your details as given in this form (and any subsequent amendment) will be included in the attendee list produced for the workshop which will be supplied to organising bodies and supporters of the workshop.

Yes I consent

No I don't consent

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Dietary Requirement Delegate

Allergy To Nuts

Gluten Free

Lactose Intolerant

No Red Meat

No Seafood

Vegan

Vegetarian

Dietary Requirement Delegate - Other

Dietary Requirement - More information

You do not have to answer this question, but it does help the kitchen understand your requirements, as some requirements are for preference, and some for medical reasons with severe implications if foods are even cooked in the same area.

Requirement due to Anaphylactic or other medical reaction

Requirement due to dislike

Requirement due to religous or other beliefs/values.

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Summary

Terms and Conditions

Cancellations must be notified in writing to the Conference Secretariat. Cancellations received: - On or before 19 May 2023 will incur a $500 cancellation fee - On or before 25 August 2023 will incur a cancellation fee equal to 50% of fees paid - After 26 August 2023 there will be no refund. Please note that all cancellation fees are subject to GST.

I Agree to the above terms

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Payment

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Thank You

Thank you for your registration, you will shortly receive a confirmation email with tax invoice attached.

If you paid online with a credit card - your receipt number is listed below.

Receipt Number

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2023 Rego Site

2023 NPHTI Workshop Registration

Welcome to the 2023 NPHTI Workshop Registration site.

Persons who have held a previous NPHTI Australia registration.

New Registrations

Account Details

Sign Out?

Please verify your account

Your account email is associated with the following records.

Reset password heading

NPHTI Workshop Registration

Contact Details

Registration

Workshop Level

Accommodation: Sydney and Adelaide

Parkroyal Darling Harbour

Adelaide

Stamford Plaza Adelaide

Background and Experience

5: Have you had previous hypnosis training?

6: Have you had PAEDIATRIC specific hypnosis training?

7: Are you using hypnosis with children/teens currently in your clinical practice?

7a) How often do you use hypnosis with children/teens currently (e..g.: daily, once a week)?

8: Please specify your typical paediatric clinical conditions

9: Please specify your typical pediatric clinical settings

Delegate list consent

Dietary Requirement Delegate

Dietary Requirement Delegate - Other

Dietary Requirement - More information

Summary

Terms and Conditions

Payment

Thank You

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