Ticket Type
*
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Type of Consultation
*
Foundational Training (Institute for Creative Mindfulness)
Certification
Consultant-in-Training
Other
If other selected (or N/A):
Who did you complete your foundational training with?
Institute for Creative Mindfulness
Other
If other selected (or N/A)?
When did you complete your foundational training?
Attendance
*
Teleconference
I verify that I understand the group guidelines listed on the consultation website
*
Yes
No
I verify that I understand the cancellation policy
*
Yes
No
My Products
*
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Standard Rate (post-foundational training): 2 hour group
$125.00
$
125.00
# of groups registering for
1
2
3
4
5
6
7
8
9
10
Non-profit employee: 2 hour group
$85.00
$
85.00
# of groups registering for
1
2
3
4
5
6
7
8
9
10
ICM Foundational Trainee: 2 hour group
$85.00
$
85.00
# of groups registering for
0
1
2
3
4
5
6
7
8
9
10
11
Lunchtime 1 hour Group
$50.00
$
50.00
# of groups registering for
1
2
3
4
5
6
7
8
9
10
EMDR Therapy Consultation Retreat
$200.00
$
200.00
EMDR Consultation Bundle: 5 prepaid groups
$531.25
$
531.25
EMDR Consultation Bundle (Trainee/Agency): 5 prepaid groups
$361.25
$
361.25
WAITLIST
Free
$
Free
Scholarship
Free
$
Free
Prepaid
Free
$
Free
Enter coupon
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Total
$0.00
$
0.00
RCC recognizes the impact of systemic racism on accessibility to training and education specifically for individuals that identify as Black, Indigenous, Latinx, Asian, and other traditionally underrepresented persons of color (BIPOC). We are proud to offer a discounted rate for training in an effort to promote diversity, equity and inclusion in our training and larger EMDR therapy communities. Please use the coupon code BIPOC at checkout.
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