EFT Event Registration 2

Workshop Name:*

Name:*

First Last

Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone:*

Email:*

License Type:*

Agreements:*

I have the training and educational qualifications to legally practice as a professional mental health practitioner or I am in formal training to be a professional mental health practitioner.
I have previously completed the Externship in EFT training.
I agree to not record any part of this training in any format (audio, video, visual). Personal written notes of non-confidential material are permitted.
I agree to excuse myself from any video or live therapy sessions where I recognize any of the clients, and according to the ethics of my profession, will keep confidential the personal identifying information of case material shared in this training.
I agree to attend the training module in its entirety (48hrs).

Please list the location, instructor, and year of your Externship.*

Hidden

Early Bird applies until:

Equity Rate Option

The Equity Rate registration option is for participants identifying as Black/African American.

Regular Rate:*

Equity Rate:*

Please choose the highest rate you can comfortably afford such that CFINE is able offer this Equity Rate to a greater number of participants.

Equity Rate (select a multiple of $25.00):

Price: $25.00

Hidden

Agency/School:

Hidden

Additional Rate for CEs:

Payment Method:*

How did you hear about this workshop?*

Join our mailing list to learn about upcoming programs and discounts:*

Total:

$0.00