Cancellation Form

Cancellation requests must be made by completing the form below. A refund of paid registration fees minus a $100 processing fee will apply.

No refunds will be issued after August 1, 2025.

Attendee Information
Attendee Name(Required)
First Last
Please enter the first and last name of the registered attendee who will be cancelling their EMDRIA Conference Registration.
Attendee Email(Required)
Enter Email Confirm Email

Please enter the email address of the registered attendee who will be cancelling their EMDRIA Conference Registration.
Reason for Cancellation Request
Reason for Cancellation Request(Required)
- Scheduling Conflict
- Financial
- Illness
- Other
Please select the most appropriate option(s) above for your reason to cancel your registration.
Phone
This field is for validation purposes and should be left unchanged.

Attendee Information