Application for, to receive an invitation to the plenary day of the First Intercontinental Extraterritorial Congress «Planet of Psychotherapy 2022: Children. Family. Society. Future» on June 24, 2022

Full name *

Place(s) of employment/study and current position(s) *

Academic titles and degrees (if any)

Membership in All-Russian Professional Psychotherapeutic League *

Other professional memberships

Country, city *

Mobile phone number (with country code) *

E-mail *

Please note that by pressing the "Send" button you hereby agree to the following statements:

I hereby give my consent to process my personal data and to any actions (operations) performed with my personal data including collection, record, classification, accumulation, storage, revision, extraction, usage of data, transferring, depersonalization, blocking, deletion, termination of personal data with the use of automation facilities and without the use of automation facilities.

I hereby give my consent to audio and video recording and live broadcasting through web streaming at the event that I am attending.

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