Registration Form

Please register me for:

• Workshop 1: 12-13 April 2025
• Workshop 2: June or July 2025 (exact dates to be confirmed)

Name: *

First

Last

Mobile Phone Number: *

Email: *

Qualifications: *

Private Practise *

• Yes
• No

Name of Professional Association you are a member of: *

Client Focus: *

Therapeutic Approach to Client Work: *

Key Modalities: *

Submit