Connecting with BSP [SEP-DEC]

**Connecting with BSP** Mondays 12-2 PM Central

> $25 for you and a guest > Choose your dates below
Your participation & donation supports the Hana Wellness Project.

All proceeds will go toward scholarships for practitioners in crisis areas who can benefit from Phase 1 training and support. Register and receive the Zoom link 2 days before each gathering.
Your Name*

First NameLast Name
Your Email*
example@example.com
Phone

Country CodeArea CodePhone Number
Title/Your line of work*
(Ex: Counselor, Coach, Psychologist, etc.)
Date of birth (optional)
Your location*

Street Address

Apt/Suite

CityState/Province

Zip CodeCountry
How did you find out about this support group?*

A friend/colleagueJoy the trainerFacebook postOther
Which Brainspotting training have you completed so far? (check all that apply) Advanced training is not required to attend, but it helps us to know how to best support your learning.*

None, but I am interested in learningPhase 1Phase 2Phase 3Phase 4Master Class w/ David GrandOther 2-3 day specialty BSP trainings
List any specialty trainings you attended: (optional)
(optional)
Gathering Dates: Select 1 or more dates. $25 per session. Pre-pay for 5 months and attend APRIL gathering for free. Zoom link and reminder will be emailed to everyone 2 days before each meeting.*

NOV 18DEC 9JAN 13FEB 10MAR 10APR 14
YOU WILL BE GIVING AND RECEIVING BRAINSPOTTING: Trained brainspotters are paired up to work on personal healing with a partner for 80 minute breakout sessions. You will need to log in from a quiet private space with working audio/video to participate. Bring your pointer, biolateral music and goggles (or something to cover an eye) so you can get creative. New folks (not yet trained) will be given a brief Brainspotting overview in the main room and have the chance to ask questions.*

I have read and agree to the above
You can invite 1 or more guest(s). Return to this form to add before we meet. Guests can be new to Brainspotting or already trained. This is an inclusive group that welcomes all who are open and curious.

Get their consent and add their information below so they can receive the Zoom link too.
Your guest's name:

First NameLast Name
Guest email:
example@example.com
Guest profile: (check all that apply)

Therapist or Healing PractitionerTrained in BrainspottingNot yet trained but interested
If not a healing practitioner, what is their profession?
e.g. Teacher, Spirtual Leader, Mentor, etc.
>> Registration Type

Your donation helps make BSP training accessible to fellow healers who need it most.

Select option and scroll down to pay*

Connect with BSP - one session> You can add multiple sessions

$25 Quantity

Connecting with BSP Package (6) > prepay for 5 months and attend 1 free. You can invite a guest to any session you attend.

$125

Guest AttendeeAttend first session for free

$ Free

Enter coupon

Total

$0.00

Additional Information (you can skip if not relevant)
NEED TO LOG OFF BEFORE 2pm Central? List time (in Central Time) or let Joy know in the zoom to help match with a practice partner with a similar schedule.
DYAD PAIRING REQUEST: Not guaranteed, but we'll do our best to match you.
EX: Pair me with a Femaie, BIAPOC practitioner, etc.
Should be Empty:

**Connecting with BSP** Mondays 12-2 PM Central

Your participation & donation supports the Hana Wellness Project.

You can invite 1 or more guest(s). Return to this form to add before we meet. Guests can be new to Brainspotting or already trained. This is an inclusive group that welcomes all who are open and curious.

>> Registration Type

Additional Information (you can skip if not relevant)

Connecting with BSP Mondays 12-2 PM Central