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
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First Name *
Last Name *
Email Address *
Mailing Address *
(for billing purposes)
Professional Address (if different from mailing address)
(for sharing with class participants)
Phone Number *
please indicate if this is a work, home, or cell phone line
Alternate Phone Number
(for sharing with class participants)
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? *
Please describe your comfort level with unblending and un-burdening. *
Are you a couple's therapist? If yes, what is your training? *
If not, what is your interest in this training?
Please provide two IFS references. *
Include phone number or email contact for each.
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.
Do you have any dietary restrictions? *
in regards to meals provided during the training
Please tell us about any special needs you have so that we may best accommodate you.
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