Bootcamp Training Registration Form

NeuroField Basic Trainings Registration
Presented by Nicholas Dogris, Ph.D.

Please Read, Complete, and Submit this form to begin registration for this training.

This is an Basic/Intermediate Course intended for new users of the NeuroField system. It is required to attend an Advanced Training and for NeuroField Certification.

Participants in this course will be able to:
1.Set up and collect 19-channel EEG
2.Artifact 19-channel EEG
3.Analyze EEG
4.Set up and run 19-channel neurofeedback
5.Develop a therapy plan with NeuroField based on EEG
6.Develop protocols in NeuroField
7.Set up and run NeuroField stimulation based therapies
8.Set up and run NeuroField RTH and RTZ neurofeedback
9.Diagnose common client pathologies and choose appropriate protocol selections

Fees are as follows:
Class Attendance: $1500
CE Credits: $100

Basic Breakfast and Coffee will be provided every morning at some locations.

This program, when attended in its entirety, is available for 38 continuing education credits. AAPB is approved by the American Psychological Association to sponsor continuing education for psychologists. AAPB maintains responsibility for this program and its content.

Time, Date, and Locations of Trainings:
October 10-15, 2017, Santa Barbara, CA:
Oct. 10, 2017: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Oct. 11, 2017: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Oct. 12, 2017: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Oct. 13, 2017: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Oct. 14, 2017: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Oct. 15, 2017: 9am-1:15pm w/ 15 min breaks every 2 hours

February 5-10, 2018, Santa Barbara, CA:
Feb. 5, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Feb. 6, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Feb. 7, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Feb. 8, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Feb. 9, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Feb. 10, 2018: 9am-1:15pm w/ 15 min breaks every 2 hours

May 14-19, 2018, Harrogate, UK:
May 14, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
May 15, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
May 16, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
May 17, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
May 18, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
May 19, 2018: 9am-1:15pm w/ 15 min breaks every 2 hours

July 14-18, 2018, Santa Barbara, CA:
Jul. 14, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Jul. 15, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Jul. 16, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Jul. 17, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Jul. 18, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm

September 24-29, 2018, Vancouver, Canada:
Aug. 6, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Aug. 7, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Aug. 8, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Aug. 9, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Aug. 10, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Aug. 11, 2018: 9am-1:15pm w/ 15 min breaks every 2 hours

October 16-21, 2018, Santa Barbara, CA:
Oct. 16, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Oct. 17, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Oct. 18, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Oct. 19, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Oct. 20, 2018: 9am-5:30pm w/ 15 min breaks every 2 hours, lunch at 1:15pm
Oct. 21, 2018: 9am-1:15pm w/ 15 min breaks every 2 hours

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Pricing totals:
NeuroField Basic Training: $1500
30 Continued Education Credits: $100
Total (if applicable): $1600

Training seats are assigned on a first come first served basis. Completing Payment for a training secures your seat.

Please Contact Nicholas Dogris, PhD. at 760.872.9153 to arrange payment. Payment is due upon registration.

Please address questions, concerns, and any complaints to Nicholas Dogris, Ph.D., via Phone: 760.872.9153, via Email, or via mail:
Nicholas Dogris, Ph.D.
386 West Line St.
Bishop, CA 93514.

Nicholas Dogris, Ph.D. is committed to accessibility and non-discrimination in its continuing education activities. Participants are asked to be aware of the need for privacy and confidentiality throughout the program. If program content becomes stressful, participants are encouraged to process these feelings during discussion periods. If participants have special needs, we will attempt to accommodate them.

Refund/Attendance Policy:
NO REFUNDS. However, if you miss the class with an acceptable excuse, you will receive credit toward another class.
IMPORTANT NOTICE: Those who attend this workshop in full and complete the appropriate evaluation form will receive CE credits. Please note that credit will only be granted to those who attend the entire workshop. Those arriving more than 15 minutes after the start time or leaving before the workshop is completed will not receive CE credit. CE credits only available for United States Licensed Professionals.

Grievance Policy
Nicholas Dogris, Ph.D. is fully committed to conducting all activities in strict conformance with the American Psychological Association's Ethical Principles of Psychologists. They will comply with all legal and ethical responsibilities to be non-discriminatory in promotional activities, program content and in the treatment of program participants. If participants have special needs, we will attempt to accommodate them. Trainings are held in locations accessible to persons with disabilities. Accommodations will be made if requested.
While Nicholas Dogris, Ph.D. works to assure fair treatment for all participants and attempts to anticipate problems, there will be occasional issues which will require intervention and/or action on the part of Nicholas Dogris, Ph.D. This procedural description serves as a guideline for handling such grievances. When a participant, either orally or in written format, files a grievance and expects action on the issue, the following actions will be taken:
1. If the grievance concerns a speaker, the content presented by the speaker, or the style of presentation, the individual filing the grievance will be asked to put his/her comments in written format. The CE Coordinator will then pass on the comments to the speaker, assuring the confidentiality of the grieved individual.
2. If the grievance concerns a workshop offering, its content, level of presentation, or the facilities in which the workshop was offered, the CE Coordinator will mediate and will be the final arbitrator. If the participant requests action during a workshop or conference, the CE Coordinator or his/her representative will:
 a. attempt to move the participant to another presentation or
 b. provide a credit for a subsequent presentation or
 c. provide a partial or full refund of the registration fee. Actions 2b and 2c will require a written note, documenting the grievance, for record keeping purposes. The note need not be signed by the grieved individual.
3. If the grievance concerns the business practices of the Nicholas Dogris, Ph.D., in a specific regard, the CE Coordinator will attempt to arbitrate.

Nicholas Dogris, Ph.D. is a member of the AAPB. There is no commercial support for this program nor are there any relationships between the CE Sponsor, presenting organization, presenter, program content, research, grants, or other funding that could reasonably be construed as conflicts of interest.