Basic Training in IFS Couple's Therapy - Registration Form
This program is open to graduates of the IFS Level 1. This training will run over two sessions: September 9-13 and December 2-6, 2019 in Danville, CA
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Mailing Address *
(for billing purposes)
Your answer
Professional Address (if different from mailing address)
(for sharing with class participants)
Your answer
Phone Number *
please indicate if this is a work, home, or cell phone line
Your answer
Alternate Phone Number
(for sharing with class participants)
Your answer
If you are accepted into the training, how will you wish to pay the $300 non-refundable deposit? *
(Payment is not expected until you are accepted into the training.)
Application Questions
Please respond to the following questions with as much detail as possible.
When did you attend your IFS Level 1 Training and who were the lead trainers? *
Your answer
Please describe your comfort level with unblending and un-burdening. *
Your answer
Are you a couple's therapist? If yes, what is your training? *
If not, what is your interest in this training?
Your answer
Please provide two IFS references. *
Include phone number or email contact for each.
Your answer
Retreat options
The remaining questions pertain to lodging and meals during the training.
Choose one of the following lodging options: *
Please note: The single and double room option includes 3 meals per day. Commuters will be provided with lunch only.
Sharing a room? *
Let us know if you would like us to pair you up with another training participant. Or, please give us the name of your desired roommate who is also enrolled in the training.
Your answer
Do you have any dietary restrictions? *
in regards to meals provided during the training
Your answer
Please tell us about any special needs you have so that we may best accommodate you.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service