Registration Form

Please register me for:

• Workshop 1: 18-19 January 2025
• Workshop 2: 22-23 February 2025

Name: *

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Last

Mobile Phone Number: *

Email: *

Qualifications: *

Private Practise *

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Name of Professional Association you are a member of: *

Client Focus: *

Therapeutic Approach to Client Work: *

Key Modalities: *

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