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Brainspotting & Parts Work Training Participant Form
In-person training: Friday-Saturday, 08-09 January 2027 @Bali, Indonesia
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Full Name (to be written on certificate)
*
Your answer
Profession
*
Psychologist
Counselor
Psychiatrist
Psycotherapist
Social Woker
Marriage and Family Therapist
Nurse
Occupational Therapist
Coach
Other:
Institution
*
Your answer
Country
*
Your answer
Phone Number (WhatsApp)
Your answer
E-mail
*
Your answer
License Number
Your answer
BSP training that has been attended:
*
BSP Phase 1
BSP Phase 2
BSP Phase 3
BSP Phase 4
BSP Phase 5
BSP Master Class
BSP with Children and Adolescence
BSP Immersion
Please provide the trainer's name, country, and the year you attended the Brainspotting training.
*
Your answer
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