Clone of JUNE 11-13 Phase 1 Registration

Phase One Registration. (AUGUST 6-8, 2026)

Small group experience. Space is limited.
Meeting online (THU-FRI-SAT) from 10:00 - 6:30 Central

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

First NameLast Name
Best Email
example@example.com
Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
Nature of your work/Title:
(Counselor, LMFT, Health Coach, etc.)
Birth Date

MonthDayYear
Your Mailing Address

Street Address

Street Address Line 2

CityState/Province

Zip CodeCountry
How did you find this training?
Who can we thank for the referral?
This training requires full attendance with a working camera and sound. Are you able to be present during the entire training with this equipment?
-------------------------------------------------------------------------------------------

Phase 1 and 2 Certification Bundle (Option)

If you know you want to get certified in Brainspotting, consider adding the Phase 2 training at the super early bird $745 rate.
- Choose OCT 1-3 or JAN 14-16, 2027 at the bottom or this form
- Receive HANA member benefits for consult groups and classes for a year
- Transfers/Refunds are possible until 3 weeks before the class
- Email us at brainbodyrevolution@gmail.com if you have questions
- You can sign up for Phase 1 today and add Phase 2 at a later date
-------------------------------------------------------------------------------------------

Brainspotting Phase 1

good thru 7/30, then pay $845

$795

Add Phase 2 (option)

Reserve now to save. Select preferred dates on the bottom.

$745

Grad Student - BSP Phase 1

Non-working interns. Documentation required.

$400

Grad Student - BSP Phase 2 (optional)

For Non-working interns.

$400

Enter coupon

Total

If you added the Phase 2 option, which class works better for you?
If registering as a grad student, please list your supervisor or advisor's name and school below:
Should be Empty:

Phase One Registration. (AUGUST 6-8, 2026)