EFIT Essentials Registration Form

Preferred Name on Badge

First NameLast Name

Name on Certificate of Completion

First NameLast Name

E-mail

example@example.com

Phone Number

Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

License Type, State & Number

What is your profession or license type, license state and license number?

Accommodations Requested

Are there any accommodations you would need to help you be comfortable during the training?

Food & Allergies

It is common for us to provide light snacks. Do you have any life-threatening food allergies we should know about so that we do not provide those types of foods/snacks.

Confidentiality Statement

An important part of learning in EFT is seeing it unfold in action by watching live unscripted psychotherapy and consultation sessions. All personal content of the large group and small group, and all clinical material shown during this training is confidential. As a participant, you agree to keep confidentiality.

Confidentiality Statement

Refund Policy

Refund Policy: 80% refund up to one month prior to training. No refund after one month prior to training unless the spot can be filled.

Refund Policy

Subject Privacy

To protect the privacy of the individuals who have generously agreed to have their therapy process shown for training purposes, I agree that if I recognize any person in the clinical cases shown, I will let the facilitators know so that they can provide an alternative training video for me to learn from.

Subject Policy

No Recording Agreement

I agree to not record any part of this training in any format (audio, video, or visual). Personal handwritten or typed notes of non-confidential material are permitted.

No Recording Agreement

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Early Bird - Individual Rate

Early Bird rate expires 2/28/2027

Regular Rate: $750

$550.00

Student Rate

Available to current graduate students in counseling, social work, psychology, or related programs. Valid student ID or enrollment verification required.

$400.00

Early Bird - Group Rate

If 4 or more people are registering for the training from the same organization, there is a $50 discount on the rate. Each person must register for the training separately. *Early Bird rate expires 2/28/2027

$500.00

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EFIT Essentials

Attendee Information

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