EFFT Supervision Registration Form

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You are registering for the EFFT Supervision Group with Gail Palmer
Dates: September 22, October 27, November 24, December 15, 2021
January 26, February 23, March 30, April 20, May 18, June 15, 2022.

Wednesday morning 9:00 am for (2 hours) ending at 11 am.
The structure will be 10 minute welcome back, 2-45 minute presentations with 15 minutes in between as a buffer, 5 minutes to wrap up.
It is best to have a video of your work when presenting. 10 -15 minutes of video is all that is required. Transcripts are appreciate. Or videos with text.
Cost is $115/per person/each session. Participants will be sent a PayPal invoice directly each Friday before the session.
Each participant will be able to record their own presentation and feedback.

First Name *

Last Name *

Professional Designation:

Location of Practice:

I attended an EFT Externship in (location)?

Year of Externship?

Please let us know about your practice. Do you see:

Families

Couples

Individuals

Please let us know if you are presently videoing your family sessions.

I understand that I am signing up for the full year ()

Yes

Clear selection

I understand if I need to miss one, I will not be charged. After one missed session, I will be charged for missed or cancelled sessions.

Yes

Clear selection

I will not record any part of this training to protect client confidentiality.

Yes

Clear selection

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