IBF Council Meeting and Conference, Chania - Crete / Greece, 19th-21th May 2023

Application Form

Please fill in all the information in the following application form.

Contact data

Male / Female *	Male Female
Title
Date of birth *
Name *
Surname *

The following details refer to Private Business / Private Practice

Institution
Department
Address
Zip
City *
Country
Email *
Phone
Occupation, faculty or field of profession
I'm a member of a national Balint Society	Yes No
The name of my Balint Society is
How long have you been in Balint work?	Less than one year A few years 5-10 years Fordecades I'm a veteran I have never been in a Balint group

Registration fees

The registration fee includes:

Participation in the conference program (incl. Balint groups), welcome party coffee breaks, Friday dinner incl. and lunch on Saturday.

Members of IBF EUR 280,00
Non-members EUR 300,00
Students EUR 100,00
10% discount for registrations until 31 December 2022

Select your participation *

Member Non-member Student

Group choice

Select a Balint group *	Balint Small Group, English speaking Balint Small Group, Greek speaking Balint Psychodrama Group Supervision Group, English speaking
Join the Social Event *	Yes No

SOCIAL EVENT

50,00 € for the Conference Social Event on Saturday (3.30 p.m. – 11.00 p.m.) (additional booking required).

- Transport from MAICH Conference Centre in the old town.
- Coffee and cake in the oldest coffee shop in town.
- Guided tour of the old town (Venetian, Jewish and Turkish neighborhood).
- Dinner in a traditional restaurant in the center of the old town (included water and local wine).
- Arranging a return trip to the Conference Centre for the attendees who reside there.

Total fee

Could you please sum up your total fees

Total fee *

Please confirm your application by transferring your total fee to the bank account below:

HELLENIC BALINT SOCIETY
IBAN: GR 19 0172 0320 0050 3209 3826 792
BIC: PIRBGRAA
Bank: PIRAEUS BANK

You will receive the invoice together with the registration confirmation.

Further information

Certified leader of a Balint Society *	Yes No
If yes, for how many years

Would you like to attend the IBF Council Meeting?

Yes / No *

Yes No

Would you consider leading a Balint group in English during the weekend

Yes / No *	Yes No
Only as a co-leader	Yes No

Would you consider leading a Balint group in Greek during the weekend?

Yes / No *	Yes No
Only as a co-leader	Yes No

Send Application

Deadline for application is 30th March 2023.
The organizing committee is grateful for early applications.