Havening® Training Interest Form & Application

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Thank you for your interest in the Training with Mitsuko. If you'd like to join training, please fill out this form below, and book a 50 min discovery call with me: https://tidycal.com/tapping/50min
Training can also be offered privately or with up to 3 students.

<Upcoming Group Trainings for 2026>
1. 6 Month Cohort
Dates: Mostly 3rd Sundays:
4/19, 5/24 (4th Sunday of May), 6/21, 7/19, 8/16, 9/20
Backup Days: 10/18, 11/15)
Time: Online: 7am - 10am Eastern Time (3 hours each, for 6 months)
Location: Online/Hybrid (If meeting in person, we may move the time to 8am-11am US Eastern)

2. Summer Weekend
Dates: Saturday & Sunday in June
Time: 8:30am - 10:30pm US Eastern Time / 6:30-8:30pm Japan time (2 hours *
Location: Atlanta/Decatur, GA

<Info Sessions & Webinars>
> Learn more about the Havening Techniques at https://Havening.org
> Join the Wait List for Havening Training with Mitsuko

> Free Monthly-Workshops on 3rd Friday (not limited to Havening) <Zoom Registration>

Or please reach out to Mitsuko | US+1-404-828-0486 (text) | mitsuko@sokssage.com

*Georgia Tech employees and students can attend the live training with special arrangement.

------------------------------------------------------------
Mitsuko is NOT a licensed mental health professional.
Mitsuko Ito is a certified practitioner and trainer of the Havening Techniques.
Havening Techniques is a registered trademark of Ronald Ruden, 15 East 91st Street, New York.

Additionally Mitsuko Ito is a licensed massage therapist in the State of GA and holds certification in several other modalities including EFT, TTT, SSP & Neuromuscular Therapy (NMT), Elemental Rhythm Breathwork. Mitsuko is an accredited certified EFT Tapping trainer with the EFT & Mindfulness Center (UK), an accredited certified Advanced EFT Practitioner/an approved mentor with EFT International, and a certified EFT Facilitator from the Vitality Living College.

Today's Date *

YYYY

Full Name (the way you'd like it to show up on the Certificate of Attendance if you were to) *

Email *

Please confirm your email. *

Phone number (Include country code if needed) *

How did you find us? *

If this is a referral, whom may I send a "thank you" to? If you have a code, please enter here as well.

Styles of Workshop/Training I am interested in:

Havening Techniques - Online Group Training

Havening Techniques - In-Person Group Training

Havening Techniques - Online One-to-One or Semi-PrivateTraining

30-60 min ABC of Self-regulation Tapping Workshop

FAST/TTT Workshop (Peaceful Heart Network)

Interested in becoming a demo/practice client

Other:

The level of training that I'm interested in:

TTT/F.A.S.T. Training only

Havening Techniques Foundational Training (16 hr) Only

+ Basic Certification Basic Mentoring Package (+ $750, if signed up within 3 wks)

+ Expanded Certification Mentoring Package

Re-sitting Havening Training ($500)

Assisting Havening Training (no cost)

Other:

What is your experience with Havening/Tapping and the like?

I have received training in Tapping/Havening.

I have received multiple Tapping/Havening sessions

I have experienced some Tapping/Havening.

I have had exposure to Tapping/Havening.

I am pretty new to these.

Other:

Do you have experience with other therapeutic modalities? Training? Certification? Professionally or personally? Please share if so. (i.e. Tapping@GT, TTT, LMT, MS, PHD, MD, LCSW, LPC, Certifications, attended Self-Havening workshop etc etc)

Do you have a date that you are looking at joining? Please describe options that you consider.

Please share why you are interested in signing up for this training and what your goal is by attending.

Please share how you wish to integrate Havening Techniques into your life or practice.

Once in the class, we may offer additional support and communication via Facebook Group or a WhatsApp group or other measures. Would you be OK for us to invite you in? *

Yes, please add me.

Maybe, let me wait for now.

No, I prefer not to be added in.

Other:

Please read this note on the certificate of attendance, and Certification.

*On the Practitioner Status and Certification
Although full participation of a minimum of 16 hours training is a requirement for those who wish to be certified, attending the class in itself does not readily imply that you will receive Havening Certification down the line. Participants who attend live workshop fully will receive a "Certificate of Attendance" (NOT to be confused with a Practitioner Certification.) Course attendance does not qualify participants to call themselves a Havening Practitioner, nor are participants allowed to use/market the Havening Techniques, due to the policies set by Havening.org. To become a certified practitioner, there are additional requirements that need to be fulfilled.

I understand and agree that by attending the 16+ hours training, I can receive a Certificate of Attendance upon full attendance and completion of requirements. This is not to be mixed up with a Certification, or a certified practitioner status, of the Havening Techniques.

I would like some more clarification on this. (Please describe below, or reach out.)

Other:

I can utilize the following methods for payments, and agree to pay all fees involved.

Venmo: @Mitsuko-Ito

CashApp: $MitsukoIto

Cash

Check

Send me an Invoice

Other:

Do you have any other questions or comments? Suggestions on dates and times? All is welcome.

Thank you for the registration!

Please note the following steps.
1. Be sure sure to hit the submit button for this application to be sent

2. Book a discovery call : https://tidycal.com/tapping/50min

3. Visit the following sites to explore a more entry level (yet trauma sensitive) Havening/Tapping
Peaceful Heart Network: https://peacefulheart.se

Tapping at GT: https://tapping.ece.gatech.edu

If you have worked with me in the past, and would like to share the possibility of healing/growth through these tools with others, your review and testimonials are greatly welcome and appreciated. (i.e. Google review)

Contact:
mitsuko@sokssage.com
mitsuko@gatech.edu (for GT community members)

Looking forward to working with you!

Mitsuko Ito

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