Boston NeuroDynamics Training Registration Form - October 2021
To register for the October 2021 Online 36-hour BCIA approved Introduction to Neurofeedback please fill out the following information.
Email *
First Name *
As you would like it to appear on your certificate
Last Name *
Name as you would like it to appear on your certificate *
Suffix (ie. PhD, RN, LICSW) *
Address Line 1 *
Address Line 2
City *
State *
ZIP *
Country *
Email *
Phone Number *
How did you hear about us? *
Required
If you were referred to us, who do we have to thank?
At this time we are planning to have a virtual training. Depending on the CDC and Massachusetts State COVID-19 guidelines, we are hoping to offer an in-person option as well. Is this something you are interested in?
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May we share your email address with other training participants? *
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