Clone of Phase 1 Registration Form (FEB 11-13, 2027)

Phase 1 Registration Form (APR 1-3, 2027)

Space is limited * Payment plan available
Meeting online (THU-FRI-SAT) 10:00am - 6:30pm Central Time

Small interactive training experience. 21 CEU available. 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, LPC, LMFT, 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 working audio and video. There is no partial credit. Are you able to be present during the entire training?
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Phase 1 and 2 Certification Bundle (Option)

If you know you want to get certified in Brainspotting, consider adding the JAN or MAR Phase 2 class at the super early bird $745 rate. Payment plan is available.
- Select from MAY 6-8 * JUL 22-24 * SEP 16-18
- Meeting THU-FRI-SAT from 10:00am - 6:30pm CT)
- Receive HANA member benefits throughout 2027
- Free access to year round consults and discounts on Heal the Healer retreats
- Transfers/Refunds are possible until 3 weeks before the event
- Email brainbodyrevolution@gmail.com if you have questions
- You can sign up for Phase 1 below and add Phase 2 at a later date
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EXCHANGE: Select and scroll down to pay

Brainspotting Phase 1

Super early bird thru Feb. 4th

$745

Add Phase 2 (optional)

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

Deposit for BSP Phase 2

Pay half now to reserve then final balance 4 wks before we meet

$375

Final payment - BSP Phase 2

Pay $425 after the due date

$375

Enter coupon

Total

If you reserved Phase 2, which class works best for you?
For Students: Enter current supervisor/advisor's name and your school below.
EX: School, Degree, Advisor or Supervisor's Name
Should be Empty:

Phase 1 Registration Form (APR 1-3, 2027)

Meeting online (THU-FRI-SAT) 10:00am - 6:30pm Central Time

EXCHANGE: Select and scroll down to pay*

EXCHANGE: Select and scroll down to pay