North Carolina Biofeedback Society’s www.ncbiofeedback.org 2012 Conference Presents Trauma & the Brain-Body Connection November 2-4, 2012 Clarion Airport Hotel Greensboro, NC 336-299-7650 www.clariongreensboro.com Please join us for collegiality, education, and inspiration. 1 PROGRAM (Tutorials are available on Friday and Saturday only!) Friday, November 2, 2012* 6:30- 8:30 Breakfast in Terrace Room 7:45- 8:00 Registration 8:00- 8:15 Welcome - Pat Benfield, President of NCBS SESSIONS 8:15-9:45 Mild Traumatic Brain Injury (mTBI) - A Silent Epidemic - Applications for Clinical Practice Sylvia L. Whitmire,MA, LPC, BCIA-C and Pat Benfield, MHDL, CRT, CBIS-CI, CCAA mTBI (concussion) has become a major public health concern calls for new standard of competent practice. There will be an overview of brain & development, types & effects of TBI, review of studies and implications & practical applications for tx, & assessments for brain trauma including qEEG. (1.5 CE/CME--Basic-Intermediate) 9:45-10:00 Break—*Exhibits open (0.25 CE/CME) 10:00-11:30 Cognition and Emotion: How Our Thoughts and Feelings Look Inside Our Brains and in Our Hearts --Rob Longo, LPC, NCC, BCIA-EEGHow thoughts and feelings affect EEG, HR, HRV; How HRV and coherence interact with EEG (1.5 CE/CME-IntermediateAdvanced) 11:30-12:30 Heart Rate Variability (HRV)-Theory, Technology, & Techniques--Peder H. Fagerholm, PhD HRV is being recognized as a safe & effective low cost modality for dealing with stress illnesses. Basic HRV theory will be reviewed, technologies introduced, & practical applications demonstrated. (1.0 CE/CME Basic-Intermediate) 12:30-1:30 Lunch & Exhibitors (1.0CE/CME) 1:30-3:00 Using Social Media to Promote your Practice---Mark Schwartz, BFE Program Director Benefits and risks of the various social media products such as Twitter, Facebook, Blogger, and others; how-to use social media; setting social media goals; review of options and costs (1.5 CE/CME Basic) 3:00-3:45 Easy Stress Control Techniques James Sendelbach, EdD, LPC This experiential workshop is designed to provide six simple stress control steps that can be used at any time to relieve the symptoms associated with uncontrolled stress. (0.75 (0.25 CE/CME) WORKSHOP (8.25 CE/CME - Intermediate) 8:15-9:45 Basics of the Clinical Q Assessment and Braindriving--Paul Swingle, PhD, FCPA, R Psych This workshop introduces Dr. Swingle's Clinical Q and Braindryver methods and how to record the ClinicalQ and interpret results. Methods for probing the client based on comparisons with the ClinicalQ’s data base are reviewed and many cases are studied to help participants learn how to capably use this remarkably efficient intake procedure. The details associated with selecting appropriate unconditional stimuli for braindriving are reviewed and the methods for administering some standard Braindryvr protocols are shown. Unique concerns regarding treating clients with severe emotional trauma, chronic depression and those who are heavily medicated. (1.5) 9:45-10:00 Break—Exhibits open (0.25CE/CME) 10:00-12:30(cont’d) Basics of the Clinical Q Assessment and Braindriving (2.5) Paul Swingle, PhD, FCPA, R Psych 12:30-1:30 Lunch & Exhibitors (1.0CE/CME) 1:30-3:45 (cont’d) Basics of the Clinical Q Assessment and Braindriving (2.25) Paul Swingle, PhD, FCPA, R Psych Learning Objectives: Id the place for the ClinicalQ assessment as part of an overall therapeutic approach Understand how the assessment can be applied and the EEG values recorded Appreciate the importance the ClinicalQ compared with other assessment tools Benefit from Dr. Swingle’s expert opinion & experience CE/CME Intermediate) 3:45-4:00 Break-*Exhibits open (0.25 CE/CME) 3:45-4:00 Break-*Exhibits open (0.25 CE/CME) 2 Friday, November 2, 2012, Continued SESSIONS WORKSHOPS 4:00-7:00 Primitive Reflexes in TBI Across All Ages Tom Gross, DC, DACNB, FACFN, FABCDD, CNS, BCIAEEG, Functional Neurologist, Childhood Developmental Specialist Primitive and postural reflexes as markers for cortical fitness, and effect of TBI on Primitive Reflexes; implications for evaluation and treatment. Will review the neurological origin and observe the expression of both primitive and postural reflexes. Exercises capable of triggering primitive reflexes driving the maturation of cortical circuits impaired by trauma. (3.0 CE/CME-Advanced) 7:00-9:00 Hands-On with our Exhibitors— Social w/ Heavy Hors D' Oeuvres This is the time to network and have fun with new equipment and exchanging ideas. (2.0 CE/CME) 4:00-7:00 (cont’d) Basics of the Clinical Q Assessment and Braindriving (3.0) Paul Swingle, PhD 7:00-9:00 Hands-On with our Exhibitors— Social w/ Heavy Hors D' Oeuvres This is the time to network and have fun with new equipment and exchanging ideas. (2.0 CE/CME) Saturday, November 3, 2012 6:30 - 8:30 Breakfast in Terrace Room 7:45- 8:00 Registration - Exhibits (0.25 CE/CME) SESSIONS 8:00-9:30 Mindfulness Biofeedback: Adding a Mindfulness Based Meditation Component to Biofeedback Treatment in the Stress Management of Severely Injured Individuals-Urszula Klich, PhD Integrative model that combines mind-body medicine to address combined physical and psychosocial needs. Incorporating biofeedback and mindfulness training into treatment to develop a more educationally focused model. (1.5 CE/CME---Intermediate) 9:30-10:00 A Randomized Controlled Study of the Effectiveness of Casual Video Games in Improving Cognition in People Aged 50 and Older Ruth-Ann Styron, LRT Cognition is known to decline with age, as part of the normal aging process. Interventions to counter the cognitive decline found in the aging process could decrease the need for assisted living care and time spent in hospitals. The purpose of this study is to investigate the use of casual video games as a means to improving cognition in adults aged 50 and older. (0.5 CE/CME- WORKSHOP (7.5 CE/CME—Intermediate) 8:00-10:00 The Brain Under Attack: Using Neurofeedback to Combat Symptoms of Stress, Trauma, TBI, and PTSD Penijean Rutter, CRC, BCIA-EEG, LMHC Will discuss brain function in the context of the human system as a whole & will focus on how the brain recruits and allocates resources in the face of injury and adversity. Introduce a paradigm of the system as an electrical energy grid, & the use of NFB in assessing the efficacy and functionality of the brain, but also providing EEG feedback that increases connectivity and global efficiency . Review of how the brain responds to internal and external stressors; how PTSD can affect physical and emotional function; how the brain creates strategies in the face of physical impact or chronic stress to help cope. All the way from basic concepts of EEG to advanced training strategies; overview of new tx software developments currently available to clinicians. (2.0) basic) 3 Saturday, November 3, 2012, Continued SESSIONS WORKSHOP 10:00-10:15 Break—*Exhibits open(0.25 CE/CME) 10:00-10:15 Break-*Exhibits open(0.25 CE/CME) 10:15-11:15 HRV and Hypnotherapy Help Heal Trauma --Maggie Minsk, LPC, NCC, GHt and 10:15-12:15 (cont’d) The Brain Under Attack… (2.0) Sue Intemann, MA, LPC, BCB Hypnosis is an efficient and effective tool to use with trauma clients, and HRV is an excellent way to introduce hypnosis. Hypnotic suggestions can be used to strengthen and facilitate clients’ use of relaxation skills in the future, reinforce their use of appropriate coping skills, and process incidents of trauma so that healing can take place (1.0 CE/CME--Basic) 11:15-12:15 The Therapeutic Aspects of Counseling and Biofeedback-Maggie Minsk, LPC, NCC, GHt; Sue Intemann, MA, LPC, BCB; and Mark Schwartz, BFE This panel discussion is for counselors and biofeedback therapists to share ideas and knowledge on current practice by LPCs, LCSWs, Psychologists and other health professionals working with Trauma patients. The panelists will lead the discussion and provide insights on the practical application and therapeutic aspects of counseling and biofeedback (Sue Intemann), hypnosis and counseling for specific disorders (Maggie Minsk) and specific assessment and treatment protocols, reimbursement, integrating services, emerging trends, and innovations in principles and practice of biofeedback (Mark Schwartz). (1.0 CE/CME--Basic) Penijean Rutter, CRC, BCIA-EEG, LMHC Learning objectives: Convey basic principles of EEG in relation to neurofeedback Describe some of the common signatures that brains under stress appear as when observed using EEG analysis and assessment Be able to apply the information in practice to immediately improve the sensitivity and quality of current treatment paradigm. 12:15-2:00 Business Meeting & Lunch sponsored by NCBS (1.75 CE/CME) 2:00-4:00 Compensatory Training Methods for Two Channel NFB - Richard Soutar, PhD 12:15-2:00 Business Meeting & Lunch sponsored by NCBS (1.75 CE/CME) 2:00-4:00 (cont’d)The Brain Under Attack… (2.0) Compensatory theory helps to explain many of the features of change observed in summary and trend screens during training. Utilizing this paradigm can greatly assist practitioners in analyzing qEEGs and trend lines as well as selecting best fit protocols and adjusting them dynamically during training. This workshop will develop the ideas of horizontal and vertical integration from the perspective of Brain Rate (Pop-Jordanova, 2005) and Cortical coupling (Schutter et al, 2005) as well as Compensatory mechanisms to account for and explain changes in the brain due to neurofeedback. It will integrate Sterman’s arousal theory (1996) with Davidson’s (2000) asymmetry theory in a manner that can be directly applied to clinical data analysis. (2.0 CE/CME-Intermediate-Advanced) Penijean Rutter, CRC, BCIA-EEG, LMHC 4:00-4:15 Break—*Exhibits open(0.25 CE/CME) 4:00-4:15 Break—*Exhibits open (0.25 CE/CME) 4 Saturday, November 3, 2012, Continued SESSIONS WORKSHOPS 4:15-5:45 Healing with Cycles: The New Science of Brain Repair --Helena E. Kerekhazi, MS, NRNP Humans are dual beings: natural (physical) and spiritual. Diagnoses can omit or ignore one or the other. Treat with compassion, empathy, and natural solutions. Teach them the nature of themselves. (1.5 4:15-5:45 (cont’d)The Brain Under Attack… (1.5) Penijean Rutter, CRC, BCIA-EEG, LMHC CE/CME-Intermediate) 5:45-6:45 Expert Panel –Conference Speakers TBA Here is your chance!!!!! Bring your most difficult cases for our experts or ask questions that you didn’t get to ask. (1.0 CE/CME-Intermediate) 6:45 Dinner on your own 5:45-6:45 Expert Panel –Conference Speakers TBA Here is your chance!!!!! Bring your most difficult cases for our experts or ask questions that you didn’t get to ask. (1.0 CE/CME-Intermediate) 6:45 Dinner on your own Sunday, November 4, 2012 6:30 - 8:30 Breakfast in Terrace Room 8:15-8:30 Registration 8:30-12:30 Neurobiology of Stress - Tom Gross, DC, DACNB, FACFN, FABCDD, CNS, BCN The brain interacts in its control and regulation of stress with virtually all other body systems in a dynamic concerto when things go well. Numerous health concerns complicate neural regulation and can lead to chronic illness over time. Practitioners in the health field are well served with a review of the vicious cycles of stress and their effects on health as well as a review of what signs, symptoms, biofeedback and lab markers can reflect the negative effects of stress on health. Implications for peripheral and central biofeedback will be discussed . (4.0 CE/CME-IntermediateAdvanced) 12:30-1:00 Wrap-up and Good-byes (0.5 CE/CME) *Tutorials are available with vendors and experts on Friday and Saturday in lieu of a presentation. You must sign up with the vendor or expert in order to get CE/CME for that time slot. Intended Audience: Psychologists, counselors, marriage and family therapists, social workers, physicians, physicians' assistants, nurses, case managers, biofeedback practitioners, educators, physical and occupational therapists, recreation therapists, holistic practitioners, massage therapists, Community Supports practitioners, and anyone interested in "cutting edge" therapeutic techniques, information and/or personal growth. 5 Many thanks to our Sponsors… Biofeedback Federation of Europe Stress Therapy Solutions BrainMaster New Mind Center Thought Technology Society of Cognitive Rehabilitation expert clinicians who will be available to help you with exploring new equipment and assist you with any questions, tutorial assistance, and/or troubleshooting. There will be So bring your equipment!!! Silent Auction items --so be prepared to make bids and purchase a few things! Door Prizes. You must be present to win. 6 THE PRESENTERS Pat Benfield, MHDL, CRT, CBIS-CI, CCAA, is in private practice in Hickory where she uses neurofeedback and biofeedback to help children and adults with brain injuries, learning disorders, ADHD/ADD, anxiety disorders, migraines, stress-related disorders, attention and cognitive disorders, and other neurophysiological disorders. She is a qualified expert and leader in brain injury rehabilitation. She has used biofeedback for over 18 years and neurofeedback for 8 years. Pat is the current NCBS President and has served on the Board for 11 years as Secretary, Conference Planning Chairperson, and President. She has been a member of NCBS for almost 18 years. Peder Fagerholm, PhD, BCIA-C/BCIA-EEG Certified, is a Clinical Psychophysiologist who has been in private practice since 1996 & is Board Certified in BF & NF. At times he has worked at Psychological Sciences Institute with Dr. Cantor & at New Mind Neurofeedback Center with Dr. Soutar. Following his initial training with EEG Spectrum in 1996, he has attended numerous additional trainings with the Stens BF group, Q-Metrx, & at the ISNR, AAPB, & NCBS conferences. He works with all age groups and conditions which can be appropriately treated by applied psychophysiology. Dr. Fagerholm has a unique background as a foundation for psychophysiology. He has a BS in Industrial Arts Ed (Electronics), a MS in Secondary Ed: Guidance & Counseling, an EdS in Adult Ed Program Management, & a PhD in Vocational Leadership. Additional multidisciplinary studies in psychology, computer based training, and technical education fill out his academic background. He is an electronic hobbyist (45+ yrs) & an Amateur Radio operator (40 yrs). He was an Asst Chief of Staff, Electronics & Space Warfare Officer for a carrier battle group, retired from the Navy as a Surface Warfare Officer in 2003 (32 yrs) & from IBM in 2004 as a Field Engineer, and has been an Adjunct Associate Professor of Aviation Sciences with Embry Riddle Aeronautical University and of Graduate Studies with Central Michigan University. Tom Gross, DC, DACNB, FACFN, FABCDD, CNS, BCN has over 18 years of clinical experience working with challenging metabolic and neurologic cases and treating chronic illnesses. He has integrated metabolic and cellular diagnostics with in-depth nutritional and neurological interventions to restore optimal health. Board Certified doctor of Chiropractic, Diplomate in Chiropractic Neurology, Fellow of the American College of Functional Neurology, and Fellow of the American Board of Childhood Developmental Disorders as well as holding national certification as a Nutrition Specialist. As a specialist in neurology, Tom brings deep insights into human metabolic biochemistry and has specialized training in AD/HD, Autistic Spectrum Disorders, Vestibular Rehabilitation, and Applied Kinesiology. Board Certified in EEG BF/NF from the Biofeedback Certification Institute of America (BCIA). He has received specialized training in Quantitative Electro-ecephalography (QEEG) and EEG Biofeedback (Neurofeedback) from some of the leaders in this field. He has a BA in Psychology and a BS in Human Nutrition. He is a Board member of NC Biofeedback Society and a member of the ISNR. Tom is in private practice in the Asheville, NC, area. Sue Intemann, LPC, BCB, is a Licensed Professional Counselor in private practice in Raleigh North Carolina. She is also employed by the Department of Defense as a Military Family Life Consultant, after having completed extensive training through The Department of Defense(2010). This is an on- demand contract, for active duty armed services and family members-deploys, post deploys and reintegration. Having completed training in Critical Incident Stress Management (2009), she joined the Crisis Care network as a Critical Incident Specialist (on call) in the event of an emergency that requires disaster response in the Raleigh/Cary/Durham area. She has been a biofeedback practitioner since 1999 and became board certified in December of 2009. Sue is also a graduate of UNC, Chapel Hill School of Medicine, Integrative Medicine Program on Mindfulness-Based Stress and Pain Management (2000). She joined the American Red Cross, Triangle Chapter as a volunteer in the early nineties and was asked to take a position as The Disaster Action Team Coordinator. She was employed by the Department of Environment and Natural Resources, Division of parks and Recreation, as the Disaster Response and Recovery Officer in the late eighties to mid-nineties. Helena E. Kerekhazi, MS Ed, NRNP (PhD Neuropsychology Candidate) has over 25 years of clinical experience and is in private practice in New York as a Certified NF and Brain Mapping provider. Helena specializes in brain mapping for Lyme. She can tell by a brain map, done with qEEG, if one has Lyme, co infections and other traumas that may be present such as past concussions etc. as well as recommend supplements and protocols that would be best for that individual. Additionally she maintains a current license as a Special Ed Teacher in NY State and uses her extensive knowledge in this field to treat LD, ADD/ADHD, and Autism and is able to distinguish from behavioral issues. 7 Urszula Klich, PhD, has over 15 years of clinical experience with complex medical patients. In that time I have cultivating a treatment philosophy of integrative medicine focused on fostering each individual’s healing power to improve their well-being. My clinical focus is on restoring function, improving quality of life, and reducing dependence on medications, while enhancing psychological well-being and independence. Her skills include: Specialized training and skills in comprehensive psychophysiological assessment and treatment Providing pain management services for individuals with catastrophic injuries, neurologic, musculoskeletal and degenerative disease. Working extensively with specialized populations include pain with spinal cord injury, central neuropathic pain such as in multiple sclerosis, brain injury and a variety of chronic pain conditions such as central neurologic pain diseases including CRPS, muschulo-skeletal and degenerative disease in addition to more commonplace disorders such as Headaches. Practicing behavioral medicine to treat a variety of concomitant psychophysiological issues such as Post Traumatic Stress Disorder associated with pain and or injury, medication and procedure compliance, sleep hygiene, and quality of life issues Tailoring individual and group treatment programs to patient need. Developing and practicing new cutting edge techniques such as Mindfulness Biofeedback. Robert E. Longo, MRC, LPC, NCC, BCIA-EEG, is in private practice specializing in QEEG Brain Mapping, Biofeedback, and Neurofeedback, he is a contract neurofeedback clinician with Integrative Therapies in Greensboro, NC, and he serves as a consultant, educator, trainer, and author dedicated to working with youth and sexual abuse prevention and treatment. He was previously Director of Clinical Training/Stress Reduction Clinic & Biofeedback Lab, and Clinical Director (2005-2008); Old Vineyard Behavioral Health Services, a psychiatric hospital, in Winston-Salem, NC, and Corporate Director of Special Programming and Clinical Training for New Hope Treatment Centers, Charleston, South Carolina. Maggie Minsk, LPC, NCC, GHt, is Licensed Professional Counselor (LPC), Nationally Certified Counselor (NCC) and Certified Hypnotherapist (CHt). Maggie received her LPC and NCC licenses in November 2009 but has been a certified hypnotherapist with the International Medical and Dental Hypnotherapy Association (IMDHA) and the National Guild of Hypnotists (NGH) since 2006. Maggie joined the 2011 Dialectical Behavioral Therapy (DBT) Practices Learning Community through Behavioral Tech and East Carolina Behavioral Health (ECBH) in August and has been actively working to establish multiple DBT teams that will be available through LeChris Counseling and are designed at helping and treating clients with Borderline Personality Disorder (BPD) and clients with related symptoms. Ms. Minsk is also currently working on certification as an instructor hypnotist with the IMDHA and certification in biofeedback through the Biofeedback Certification International Alliance (BCIA). Penijean Rutter, CRC, BCIA-EEG, LMHC, has eight years experience working with both low functioning and high risk populations, including profoundly disturbed adolescents and adults with severe traumatic brain injury. She contracted for two years with the Center for Rational Living as a cognitive behavioral therapist, rehabilitating DUI and drug offenders on probation, and training new therapists. She served for five years as the Clinical Services Director at CNS Wellness of Tampa Bay, using neurofeedback, biofeedback and cognitive behavioral interventions on populations with autistic spectrum disorder, chronic anxiety and depression, aging and cognitive decline, traumatic brain injury, substance abuse, AD/HD and OCD. Penijean believes in therapeutic interventions that incorporate cognitive, biological, social and neurophysiological factors into an integrated approach that addresses each individual as a complete person functioning within a complex system. Her recent clinical research has focused on methods to improve neural connectivity in individuals with compromised function. She currently works with Stress Therapy Solutions, Inc. as a clinical consultant and educational coordinator, helping to create and teach training programs and materials, and to develop clinical applications for groundbreaking brain imaging software and training approaches. Jim (James) Sendelbach has an Ed.D. in Counseling Psychology and is a GA Licensed Professional Counselor, an APA Certified Professional Counselor, and a Certified Forensic Addictions Examiner. 8 Richard Soutar, Ph. D., BCIA-EEG is a pioneer in the field of NFB, has published three books on the topic of NFB, and conducted workshops on many aspects of NFB at conferences and clinics in the U.S and Europe. As a former professor of psychology and sociology, he has had extensive experience in teaching and training at both the undergraduate and the graduate level. He has also been working continuously over the years as a clinician, director and business administrator of various neurofeedback clinics around the country and providing qEEG report services for other clinics. He developed the first BCIA certified internet training course for Neurofeedback in 1998 which continues presently to help professionals become BCIA certified. He has worked successfully with professional athletes and businessmen on peak performance as well as a wide spectrum of individuals with the traditionally labeled psychological and medical disorders. He has pioneered a variety of clinical screening and assessment tools for neurofeedback including, the MiniQ, the New Mind Expert qEEG Analysis System, the Interactive Self Inventory, and the NPC Symptoms Checklist. He has consulted with several equipment manufacturers on the development of the MiniQ, Distance Training, Training Screen Formats and DVD Training as well as the portable mini neurofeedback trainer, the Bioscan ABT. Presently he is practicing neurofeedback in Atlanta, GA and consulting on a several grants and research projects with Emery University, GA, the University of Central Florida, Orlando, The University of North Carolina, The University of Malaysia and the US Military for the treatment of PTSD and Depression. Ruth-Ann Styron, LRT, is working as a Graduate Research Assistant in the East Carolina University Psychophysiology Lab and Biofeedback Clinic. She is working on earning a master of science in recreational therapy administration. In the ECU Psychophysiology Lab and Biofeedback Clinic, Ruth-Ann works with participants in the Wounded Warrior Project utilizing general biofeedback modalities. She has spent time as a supervised biofeedback assistant working with children with behavioral and emotional disorders utilizing general biofeedback modalities at Pathways to Life, Inc in Greenville, NC. Mark Swartz is the director of the “Learn From the Best” program supported by the Biofeedback Federation of Europe (BFE), a non-profit organization located in London, England. He has over 30 years of experience in direct outbound marketing and sales. For the last 16 years, he has been involved in the promotion of education, training, and research for the BFE. He is in charge of over 60 International Research & Education Teams that use social media to promote specific health topics from a local community to the other side of the world. Paul G. Swingle, Ph.D., is a Fellow of the Canadian Psychological Association and was Lecturer in Psychiatry at Harvard Medical School from 1991 to 1998. Professor Swingle was Chairman of the Faculty of Child Psychology at the University of Ottawa from 1972 to 1977 and Clinical Supervisor from 1987 to 1997. He has also taught at McGill University, Dalhousie University and McMaster University. He is a Registered Psychologist in British Columbia and is (BCIA) Certified in Biofeedback and Neurotherapy. Since 1997 he has been in private practice in Vancouver, British Columbia. His most recent book "Biofeedback for the Brain" (2008) was published by Rutgers University Press. Sylvia Whitmire, MA, LPC, BCIA-C, is in private practice serving the Charlotte, NC, area, providing brain injury rehabilitation, counseling, and biofeedback. She services individuals with brain injury, headache, panic disorder, anxiety disorder, childhood trauma, marital issues, and personal issues. As an educator for 18 years, she was familiar with the learning and relearning process and effective communication. She has practiced peripheral biofeedback for more than 13 years. She is a current member of the AAPB and NCBS . She as a NCBS Board member for the past 4 years and presently serving on the Conference Planning Committee. 9 Registration Information You may register and pay online at NCBiofeedback.org. Discounts: For **1st time professionals, we are offering a low cost trial membership qualifying you for conference registration discounts. Also if you are: ****1st time attendee~ $25 Discount (You do not qualify if you have been a past member within the last 5 years.) ****Group Rates ~ $25/person for 2 or more on full registration (send together or reference group name). **Students--include a copy of student identification card with registration. CEs/CMEs: Friday – up to 13.00 hrs Saturday – up to 10.75 hrs Sunday –up to 4.5 hrs Cancellation Policy: Cancellations received in writing by October 19, 2012, will be issued a refund less a $50 processing fee. NO refunds will be granted after October 26, 2012. Refunds are processed following the conference. If paying by Check, make checks payable to: NCBS and send to NCBS, 1985 Tate Blvd. SE, Ste. 152, Hickory, NC 28602. Must be postmarked no later than October 12, 2012. Special Services: If you have a disability which requires special accommodations, please email [email protected]. Other Information LODGING & MEALS The conference is at the Clarion Hotel Greensboro Airport, Greensboro, NC. (www.clariongreensboro.com). We have secured special rates at the Clarion as long as they last at a discounted rate of $79 (single or doubles). Hot complimentary breakfast bar is provided each day in the Terrace Room for those staying at the Clarion. Meals and snacks except for Saturday’s dinner are included in the conference registration fees. For reservations, call the Clarion at 336-299-7650 and tell them you are attending the North Carolina Biofeedback Society conference. Airport—Greensboro International Airport ---- Free Shuttle service to and from the airport is provided by the Clarion Hotel. Special arrangements can be made for trips to local spots and to/from airport if you are departing/arriving at a time that normal shuttle service is not running. Directions to the Clarion Hotel Greensboro located at 415 Swing Road, Greensboro, NC 27409. From Durham/I-40 West/I-85 South- Drive I-40 West/I-85 South to exit # 131, I-40 West/Business I-85 South. Follow through Greensboro to exit #213 Guilford College Road. Drive through the light and the Clarion Hotel is on the right hand side. From Winston Salem/I-40 East- Follow I-40 East and (Caution: avoid exit # 214 Wendover Blvd to Guilford College Road). Follow to the second exit # 212 B I-40 East and then take exit #213 Guilford College Road. Turn Right at the stop light. Turn left at Swing Road. From Charlotte/I-85 North- Drive I-85 North to exit # 120B PTI Airport/I-40 West Winston Salem. (Caution: avoid exit # 214 Wendover Blvd to Guilford College Road) Follow to the second exit # 212 B I-40 East and then take exit #213 Guilford College Road. Turn Right at the stop light. Turn left at Swing Road. 10 2012 NCBS Conference (November 2-4, 2012) Conference Registration Form “Trauma & the Brain-Body Connection” Name___________________________________________Credentials________________________ Full MailingAddress_________________________________________________________________ Phone___________________________ Email___________________________________________ Specialty areas____________________________________________________________________ List of your current equipment/software:_________________________________________________ List questions you hope to get answered during the conference ______________________________ *MEAL PLAN: Regular _____ Vegetarian _____ (Registration covers the cost of snacks and meals.) Go to NCBiofeedback.org to download additional registration forms or to obtain further information. Members Early (10-12-12) Late Total Conference $375 $425 ________ Per Credit Hr. Attendance $ 18/hr. $ 25/hr. ________ $425 $500 ________ $ 25/hr. $ 30/hr. ________ Reserve your seat in Workshops: Circle: Paul Swingle ---Pennijean Rutter List dates & times for partial conference attendance: Nonmembers Conference Per Credit Hr. Attendance Reserve your seat in Workshops: Circle: Paul Swingle ---Pennijean Rutter List dates & times for partial conference attendance: Students Notebooks Half price of Fees above as member or non-member ________ OR $50 if willing to help with registration/volunteer ________ Handouts will be accessible for you to download & place in provided notebook, however, if you want NCBS to print & provide copies of the handouts in your notebook there will be an additional fee of $30 $35 ________ NCBS Membership Professionals $50 ________ **Trial for 1st time Professional $20 ________ $10 ________ **Students ****Conference Registration Discounts ****First Time Attendee subtract - $25 -_______ ****Group Rate (name/group______) - $25 -_______ TOTAL PAYMENT _______ 11
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