Registration Form: Beyond Core Skills Hawaii 2019
Beyond Core Skills will take place in two modules across two four-day periods, Wednesday through Saturday. The dates for the 2019-2020 BCS are November 13-16 and January 29-February 1. The schedule is Wednesday 4pm-7pm and Thursday-Saturday 9am-5pm. You must complete all eight days of the course in order to receive CEUs. The course offers 45 CEUs.

If you would like to register for the course, please complete and submit the following form. You will then be sent a link for credit card payment, which will secure your place in the course. To ensure that the link email doesn't end up in your spam folder, please add yourprovider@simplepractice.com to your contacts.

First Name: *
Your answer
Last Name: *
Your answer
Email Address: *
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Work Phone Number: *
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Address: *
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License Type: *
License Number: *
Your answer
I have completed an Externship and a Core Skills class with an ICEEFT-certified EFT Trainer. *
Externship: *
Please list the location, dates, and trainer name for your Externship.
Your answer
Core Skills: *
Please list the location, dates, and trainer name for your Core Skills.
Your answer
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 health practitioner. *
Participants must be familiar with and abide by professional and legal confidentiality requirements regarding all client information shared in the training. Completion of training does not guarantee competence or certification. Enrollment in this training constitutes an agreement to hold harmless The San Diego Center for Emotionally Focused Therapy, the Training and Research Institute for Emotionally Focused Therapy (TRI-EFT), and all presenters and trainers from any and all claims, actions, and judgements, including all costs of defense and attorney’s fees incurred in defending against the same. I have read and agree to follow the terms for participation. *
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