Mindful Eating and Self Compassion You are now registering for Mindful Eating and Self Compassion on Friday, November 8, 2024. Please ensure your information is filled out correctly. You will receive a confirmation email with the webinar join link after you complete your registration. You will receive a confirmation email with the webinar join link after you complete your registration to the email address you registered with. Please be sure to check your spam, junk and promotion folder for this as well. Refund Policy: All refund requests must be submitted in writing to NSandul.naswnys@socialworkers.org no later than two business days prior to the workshop date. If you do not attend, you will be considered a ‘no-show’. Refund e-mails must include the subject line "Refund Request" as well as the attendee's name, workshop date and title in the body of the e-mail. If a refund is requested later than two business days prior to the workshop date, NASW-NYS has the right to refuse the request. • All refunds are subject to a fee of 20%for administrative processing fees. • Refund requests typically take 5 business days processing time. • In the case of a no-show or partial participation, no refund will be granted • We do not issue credits or apply refunds towards a future course. You can only receive a refund. • You will not be able to receive a recording of the presentation for credit. • You will receive a full refund in the case NASW-NYS cancels the event. Anti-Harassment Policy: NASW-NYS is committed to providing a safe and welcoming environment for professional participation for all our members, partners, and other continuing education attendees. Our strength as an association is our people, and we cherish their diversity and strive for equity and inclusion. We value all our attendees equally, and will not accept any treatment at the event, or in any sphere of Association business, that undermines this value. By registering for this event, you agree to abide by the NASW-NYS anti-harassment policy. Greivances: NASW-NYS stives to provide high quality programming. Participants have the opportunity to provide feedback on eash program they attend via an evaluation provided at the end of each program. If there are any additional outstanding issues that you would like addressed, please do not hesitate to reach out to the NASW-NYS Program Coordinator, Nelle Morehouse at nmorehouse.naswnys@socialworkers.org Accessibility: Closed captioning through Zoom will be provided for all programs. If you need any additional accessibility accommodations, please email info.naswnys@socialworkers.org. In order to ensure each request is met to the best of our ability, please submit requests no less than 10 business days before an event. Registration First Name * Last Name * Title If no employer, please write N/A Organization Name * Street Address * City * Country - select Country - United States Åland Islands Zimbabwe Zambia Yemen Western Sahara Wallis and Futuna Virgin Islands, U.S. Virgin Islands, British Viet Nam Venezuela Vanuatu Uzbekistan Uruguay United States Minor Outlying Islands United Kingdom United Arab Emirates Ukraine Uganda Tuvalu Turks and Caicos Islands Turkmenistan Turkey Tunisia Trinidad and Tobago Tonga Tokelau Togo Timor-Leste Thailand Tanzania, United Republic of Tajikistan Taiwan Syrian Arab Republic Switzerland Sweden Svalbard and Jan Mayen Suriname Sudan Sri Lanka Spain South Sudan South Georgia and the South Sandwich Islands South Africa Somalia Solomon Islands Slovenia Slovakia Sint Maarten (Dutch Part) Singapore Sierra Leone Seychelles Serbia and Montenegro Serbia Senegal Saudi Arabia Sao Tome and Principe San Marino Samoa Saint Vincent and the Grenadines Saint Pierre and Miquelon Saint Martin (French part) Saint Lucia Saint Kitts and Nevis Saint Helena Saint Barthélemy Rwanda Russian Federation Romania Reunion Qatar Puerto Rico Portugal Poland Pitcairn Philippines Peru Paraguay Papua New Guinea Panama Palestine, State of Palau Pakistan Oman Norway Northern Mariana Islands North Macedonia Norfolk Island Niue Nigeria Niger Nicaragua New Zealand New Caledonia Netherlands Nepal Nauru Namibia Myanmar Mozambique Morocco Montserrat Montenegro Mongolia Monaco Moldova Micronesia, Federated States of Mexico Mayotte Mauritius Mauritania Martinique Marshall Islands Malta Mali Maldives Malaysia Malawi Madagascar Macao Luxembourg Lithuania Liechtenstein Libya Liberia Lesotho Lebanon Latvia Lao People's Democratic Republic Kyrgyzstan Kuwait Kosovo Korea, Republic of Korea, Democratic People's Republic of Kiribati Kenya Kazakhstan Jordan Jersey Japan Jamaica Italy Israel Isle of Man Ireland Iraq Iran, Islamic Republic of Indonesia India Iceland Hungary Hong Kong Honduras Holy See (Vatican City State) Heard Island and McDonald Islands Haiti Guyana Guinea-Bissau Guinea Guernsey Guatemala Guam Guadeloupe Grenada Greenland Greece Gibraltar Ghana Germany Georgia Gambia Gabon French Southern Territories French Polynesia French Guiana France Finland Fiji Faroe Islands Falkland Islands (Malvinas) Ethiopia Eswatini Estonia Eritrea Equatorial Guinea El Salvador Egypt Ecuador Dominican Republic Dominica Djibouti Denmark Côte d’Ivoire Czech Republic Cyprus Curaçao Cuba Croatia Costa Rica Cook Islands Congo, The Democratic Republic of the Congo, Republic Of The Comoros Colombia Cocos (Keeling) Islands Christmas Island China Chile Chad Central African Republic Cayman Islands Cape Verde Canada Cameroon Cambodia Burundi Burkina Faso Bulgaria Brunei Darussalam British Indian Ocean Territory Brazil Bouvet Island Botswana Bosnia and Herzegovina Bonaire, Saint Eustatius and Saba Bolivia Bhutan Bermuda Benin Belize Belgium Belarus Barbados Bangladesh Bahrain Bahamas Azerbaijan Austria Australia Aruba Armenia Argentina Antigua and Barbuda Antarctica Anguilla Angola Andorra American Samoa Algeria Albania Afghanistan State * - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Phone * Email * If you are not a NASW Member, please type N/A. 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NASW Chapter NYS License Number Credentials ADA Accommodations VisualAudioOther ADA Specific Needs Event Fee(s) * NASW-NYS Member - $ 45.00 NASW Other Chapter Member (Including NYC) - $ 75.00 Non-Member - $ 90.00 NASW-NYS Student and Transitional Member - $ 0.00 Total Credit Card Card Type - select - Visa MasterCard Amex Card Number * Security Code * Expiration Date * -month- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -year- 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 My billing address is the same as above Billing Name and Address Billing First Name * Billing Middle Name Billing Last Name * Street Address * City * Country * - select - United States Åland Islands Zimbabwe Zambia Yemen Western Sahara Wallis and Futuna Virgin Islands, U.S. Virgin Islands, British Viet Nam Venezuela Vanuatu Uzbekistan Uruguay United States Minor Outlying Islands United Kingdom United Arab Emirates Ukraine Uganda Tuvalu Turks and Caicos Islands Turkmenistan Turkey Tunisia Trinidad and Tobago Tonga Tokelau Togo Timor-Leste Thailand Tanzania, United Republic of Tajikistan Taiwan Syrian Arab Republic Switzerland Sweden Svalbard and Jan Mayen Suriname Sudan Sri Lanka Spain South Sudan South Georgia and the South Sandwich Islands South Africa Somalia Solomon Islands Slovenia Slovakia Sint Maarten (Dutch Part) Singapore Sierra Leone Seychelles Serbia and Montenegro Serbia Senegal Saudi Arabia Sao Tome and Principe San Marino Samoa Saint Vincent and the Grenadines Saint Pierre and Miquelon Saint Martin (French part) Saint Lucia Saint Kitts and Nevis Saint Helena Saint Barthélemy Rwanda Russian Federation Romania Reunion Qatar Puerto Rico Portugal Poland Pitcairn Philippines Peru Paraguay Papua New Guinea Panama Palestine, State of Palau Pakistan Oman Norway Northern Mariana Islands North Macedonia Norfolk Island Niue Nigeria Niger Nicaragua New Zealand New Caledonia Netherlands Nepal Nauru Namibia Myanmar Mozambique Morocco Montserrat Montenegro Mongolia Monaco Moldova Micronesia, Federated States of Mexico Mayotte Mauritius Mauritania Martinique Marshall Islands Malta Mali Maldives Malaysia Malawi Madagascar Macao Luxembourg Lithuania Liechtenstein Libya Liberia Lesotho Lebanon Latvia Lao People's Democratic Republic Kyrgyzstan Kuwait Kosovo Korea, Republic of Korea, Democratic People's Republic of Kiribati Kenya Kazakhstan Jordan Jersey Japan Jamaica Italy Israel Isle of Man Ireland Iraq Iran, Islamic Republic of Indonesia India Iceland Hungary Hong Kong Honduras Holy See (Vatican City State) Heard Island and McDonald Islands Haiti Guyana Guinea-Bissau Guinea Guernsey Guatemala Guam Guadeloupe Grenada Greenland Greece Gibraltar Ghana Germany Georgia Gambia Gabon French Southern Territories French Polynesia French Guiana France Finland Fiji Faroe Islands Falkland Islands (Malvinas) Ethiopia Eswatini Estonia Eritrea Equatorial Guinea El Salvador Egypt Ecuador Dominican Republic Dominica Djibouti Denmark Côte d’Ivoire Czech Republic Cyprus Curaçao Cuba Croatia Costa Rica Cook Islands Congo, The Democratic Republic of the Congo, Republic Of The Comoros Colombia Cocos (Keeling) Islands Christmas Island China Chile Chad Central African Republic Cayman Islands Cape Verde Canada Cameroon Cambodia Burundi Burkina Faso Bulgaria Brunei Darussalam British Indian Ocean Territory Brazil Bouvet Island Botswana Bosnia and Herzegovina Bonaire, Saint Eustatius and Saba Bolivia Bhutan Bermuda Benin Belize Belgium Belarus Barbados Bangladesh Bahrain Bahamas Azerbaijan Austria Australia Aruba Armenia Argentina Antigua and Barbuda Antarctica Anguilla Angola Andorra American Samoa Algeria Albania Afghanistan State/Province * - select State/Province - Alabama Alaska American Samoa Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Postal Code * Review