Native Focused Brainspotting Phase I Registration

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Event Timing: August-25th, 26th, 27th, 2023, 9-6 PM
Event Address: virtual
Registration questions/contact us at (408) 460-5030 or indigenacounselingandwellness@gmail.com

Brainspotting Training includes lecture, live demonstration, and dyadic practicums in which participants have the opportunity to fully experience Brainspotting as a client and as a practitioner. Due to the highly experiential nature of the training, it is critical that all participants are fully present for the entire training and participates in practicums.

To maximize your training experience, please consider the following:
*Plan to be present for all parts of the training and have a private space for the experiential practicum components.
*Consider all other factors that may impact your ability to be present for the training. Please do not plan to hold meetings over lunch break or other times during the training.

This training is approved by Brainspotting Trainings, LLC and meets the Brainspotting Phase I requirement towards Brainspotting certification. Trainer: Regina Faridnia, LCSW

Please complete this registration form for Brainspotting: Phase I training. Upon completion, you will receive a copy of your submission and a payment link. Please go to the payment link to complete the registration. You are not considered fully registered until a payment is made. We can send out training supplies & manual after a payment. These are usually sent a week or two before initial training day.

Email *

Registrant Full Name *

Preferred Pronouns (you are also encouraged to add this on zoom during the training)

Phone Number *

Street Address (Please provide the full address that you want your supplies mailed to: *

City, State, Zipcode *

Country *

Organization *

Cancellation and Refund Policy: We understand that situations arise. If you need to cancel, please contact us at indigenacounselingandwellness@gmail.com. Please be sure that you are able to be present (on camera for virtual trainings) for all three days of the training. All cancellations must be received at least 3 days prior to the first day of training to be fully refunded less the 4% transaction fee plus $50 will be deducted if materials have already been mailed out. NO REFUNDS WILL BE ISSUED AS A RESULT OF PARTIAL ATTENDANCE. PLEASE ENSURE YOU ARE ABLE TO BE FULLY PRESENT FOR THE ENTIRE TRAINING. *

I have read, understand and agree to the cancellation and refund policy.

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Please select an option below. If you need a payment plan or discounted rate, please email indigenacounselingandwellness@gmail.com for arrangments. Please note that any discount is not a generic discount but to provide access based on financial need/lack of resources. * *

I will pay in full.

I would like to use a payment plan.

I have a financial hardship and am requesting a discounted rate. Please email: indigenacounselingandwellness@gmail.com with info about why you may need a discounted rate.

This does not apply to me.

How did you hear about the training? *

Please indicate if you have already completed a Phase I training. *

Yes, I have a certificate of completion for Brainspotting Phase I

Clear selection

Are you interested in volunteering for one of the experiential demonstrations for the training? If yes, please provide a brief description of what you would like to work on. The demonstration is an opportunity for you to experience the Brainspotting process with the trainer in front of the training group. Generally, more folks volunteer for the demonstrations than are needed. If selected ahead of time, you will be notified by email the day before the training begins.

Please Note: Licensing Boards change regulations often and while we attempt to stay abreast of their most recent changes, if you have questions or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling. At this point, APA & ASWB have not approved CEU's through RCassidy for Brainspotting training, so ceu's received through RCassidy may or may not be recognized by your licensing board. I will provide a certificate of participation. *

I acknowledge the above information regarding Continuing Education Credits.

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A copy of your responses will be emailed to the address you provided.

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