Moss Diversity Conference Registration

On White Racism-- Dominating the Other/Ravaging the Self-- The Workings of Parasitic Whiteness with Donald Moss, MD and Lynne Zeavin, PsyD.

Co-sponsored by Austin Psychoanalytic and Center for Psychoanalytic Studies
Diversity Conference Registration

November 14, 2020
Name *

First Name Last Name
License / Degree (PhD, PsyD, LCSW, LPC, MD, LMFT, etc.)
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
If paying for the conference by check, please submit the registration form electronically and mail a check made out to Austin Psychoanalytic to P.O. Box 162082, Austin, TX 78716.

Registration *

Full Member $ 120.00

Non-Member $ 145.00

Early Career Professional (within 5 years of graduation), Full Time Students, and Retired $ 60.00

Registering with a Check by Mail - no credit card required Free

On White Racism-- Dominating the Other/Ravaging the Self-- The Workings of Parasitic Whiteness with Donald Moss, MD and Lynne Zeavin, PsyD.