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EFFT Supervision Registration Form
You are registering for the EFFT Supervision Group with Gail Palmer
Dates: Jan. 29, Feb. 19 , Mar. 25, Apr. 22, May 27, Jun. 24, Sept 23, Oct 14, Nov. 25 and Dec 23.

Wednesday morning 9:15 am for (1.75 hours) ending at 11 am.
The structure will be 2-45 minute presentations with 15 minutes in between as a buffer.
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 pay for the first three at time of registration. The payment for the following three sessions will be due April 1st.
Each participant will be able to record their own presentation and feedback.

TO REGISTER & PAY: $345 (CAN) for first three sessions due immediately. Please send email transfer to


By Credit Card using Paypal
Email address *
First Name *
Your answer
First Name *
Your answer
Last Name *
Your answer
Professional Designation:
Your answer
Location of Practice:
Your answer
I attended an EFT Externship in (location)?
Your answer
Year of Externship?
Your answer
Please let us know about your practice. Do you see:
Please let us know if you are presently videoing your family sessions.
Your answer
I understand that I am signing up for the full year ( 10 sessions)
I understand if I need to miss one, I will not be charged. After one missed session, I will be charged for missed sessions.
I will not record any part of this training to protect client confidentiality.
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