I am resubmitting this form to change the information I have provided previously. NoYes

* indicates a required field.

First Name: *  

Middle Name:  
Last Name: *  
Address: *
City: * Province:  *
Postal/Zip Code: Country:
Home Telephone: Business Telephone:
Fax: Email:* Enter one email address only.
If you are a member of the Canadian Psychological Association, enter your membership number below.
What educational or professional designation do you hold or seek to obtain?
Please select the course(s) for which you are now registering:

Course 1:*

You must register here and remit the access fee payment to Captus Press before we can issue your username and password. The username & password will be emailed to you after payment is processed (within 1business day).

For the Private Practice Course (Updated course is now available!)
Members and Fellows: $99.00
Non members: $149.00
Students affiliate members: $49.00
Student non members: $79.00

For the Being An Ethical Psychologist course
Members and Fellows $130.00
Non-members: $175.00
Student affiliate members: $ 70.00
Student non-members: $100.00

For the Knowledge Mobilization 101 course
Members and Fellows $229.00
Non-members: $329.00
Student affiliate members: $ 99.00
Student non-members: $129.00

GST or HST will be added to the price where applicable.

Registration provides 4 weeks access to the Private Practice course, 5 weeks access to the Being An Ethical Psychologist course and 12 weeks access to the Knowledge Mobilization 101 course.
If you need more time, your access may be extended at a cost of $29 + GST or HST for four additional weeks.

Please select one of the payment options below. *

(NSF Cheques)
Visa/MasterCard   Expiry Date

(Enter only
Submit Card # by telephone.

*Please make the cheque payable to Captus Press Inc.

Mailing Address:
Units 14 & 15,
1600 Steeles Ave. West
, Ontario,
Canada, L4K 4M2
If you have selected to phone in your credit card number, please call 416-736-5537.

If you wish to ask a question or receive additional information, send us an email.


The following terms and conditions of registration constitute a legal agreement between you and the Canadian Psychological Association (CPA) and Captus Press Inc. for access to CPA educational materials on the Internet.

This agreement gives you the right to use the relevant course/seminar materials for your own learning and professional development. You cannot transfer or assign these rights, (along with the access codes or passwords that you obtain from CPA and/or Captus Press) and you cannot allow any other individual or organization to use these educational materials.

Unauthorized use or reproduction of CPA educational materials in any form is prohibited. No part of these educational materials may be reproduced, distributed or stored in any manner or form by any means, electronic or otherwise, without the prior written permission of CPA. Intellectual property rights and copyright ownership regarding these educational materials rest with CPA. These educational materials are also protected under Canadian and international copyright laws and treaty provisions.

The course fee paid to Captus Press Inc. is for reasonable Internet access to this learning material for the period indicated above. As the Internet host of this material, Captus Press Inc. makes no representation whatsoever as to the result or benefit of taking this course for any purpose.

I am registering for this educational material and I affirm that I have read and understood the Terms and Conditions of Registration. I agree to be bound by these Terms and Conditions and to pay the registration fee.*
I do not agree to the Terms and Conditions and will not be registering.