JULY 16-18. Phase 2 Registration

Phase 2 (JULY 16-18)

Register by Friday to receive your supplies
We meet online THU-FRI-SAT from 10:00am - 6:30pm Central Time.

21 approved CE hours. Diverse, inclusive training experience. Come learn-heal-expand with us!
Name (as you want it to appear on your certificate)

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What is your line of work? (Coach, LMFT, etc.)
Date of birth
Your Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Your Phase 1 Trainer
Training Date (month/year)
How did you hear about this training?

Other
Who can we thank for the referral?
(optional)
This training requires full attendance with a working camera and sound. Are you able to be present during the entire training with this equipment?

Brainspotting Phase 2

$845

Grad Student - BSP Phase 2

Non-working interns. Documentation required.

$400

Deposit - BSP Phase 2

$375

Final payment - BSP Phase 2

Pay $425 by August 31

$375

Enter coupon

Total

If registering as Student or Pre-licensed, enter your supervisor/advisor's name and school (if applicable):
Would you like to volunteer for a demo? (You will receive a form to send Joy details before the training.)
Special Request Option: List below if you have a preference for practice partners. (We will do our best to accommodate special requests.)
EX: I prefer a Female Partner, prefer a BIPOC partner, etc.
Should be Empty:

Phase 2 (JULY 16-18)