C3 Somatic Experiencing Training- Registration Form

Thank you for choosing us.

We will review this application once submitted and reach out to you with the next steps to complete your admission process in 3-4 working days.
The max no. of people we will be admitting into this Cohort is capped at 55 pax. This will be on a first come first serve, to complete all steps of the admission process.

The dates for the training for Cohort 3 will be as follows-
Cohort 3 Dates-

Beginner 1- 10th Nov 2026 - 15th Nov 2026

Beginner 2- 16th March 2027 - 21st Mar 2027

Intermediate 1-16TH Nov 2027- 21st Nov 2027

Intermediate 2- 21st March 2028 - 26th March 2028

Advanced 1-14TH Nov 2028- 19st Nov 2028

Advanced 2 - 6th Mar 2029 - 11th Mar 2029

We would like you to know that submitting this does not confirm your participation as a student.
Please reach to us at pooja@thewhiteelephant.in or +91 9731819703 if you do not hear back from us within 3 working days.

For international participants, we recommend that you apply for an entry Visa ( as recommended by the Indian Embassy ) to attend training such as ours. We do not take responsibility for the Visa process, but definitely support you with an invitation letter for the same.
For more information on the training, please refer to the PDF on the website.
Click here for more details
Thank you.

Name (As per your Passport or ID proof)*

Name (You want on the certificate)*

Contact No. (Preferably WhatsApp)*

Email Id (This will be used for official communication with The White Elephant team)*

Gender*

MaleFemaleOther

How would you liked to be addressed He/Him, She/Her, They/Them?*

Date of Birth*

MonthDayYear

Nationality*

Where are you currently located or based out of?*

Address*

A little about your Current Practice*

A professional Image of your's*

ID Proof*

Emergency Contact & Relationship*

Have you attended any workshops or trainings of Somatic Experiencing before?*

YesNoMaybe

Are you currently enrolled in any other training or certification program? If yes, Please provide us with the details. *

Please describe any previous training or experience you have related to Somatic Experiencing or other therapeutic modalities:*

Do you have any physical or medical conditions that might affect your participation in the training? If yes, please provide details. *

How did you hear about this Somatic Experience training program in Rishikesh?*

Highest Degree Attained ( Name of University )*

You are informed about the NO REFUND POLICY? ( If lockdown situation, we do not prefer continuing the training online, we intend to wait for a later date to do in person)*

YesNo

Resume Attachment*

Write a little about yourself and your intention about learning Somatic Experiencing? *

Do you plan/intend to complete the 3 year training in Rishikesh with us?*

Somatic Experiencing Rishikesh Cohort 3