Brainspotting Phase I Registration
Event Timing: October 5th-7th, 2024, 8:30 AM--5:30 PM PST
Event Address: online/virtual/synchronous
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.
*Dress comfortably
*Bring water and snacks
*Bring a pillow if you prefer to sit on the floor
*Bring comfortable headphones and your device for when we are using biolateral music. You will receive info to download the music prior to the training.

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

During Brainspotting Trainings you will have the opportunity to both witness and practice live Brainspotting sessions. This teaching is highly experiential and you may experience activation during the process. I encourage you to engage in meaningful self-care throughout the training and reach out to any of the facilitators for support. Additionally, please remember that the practicums are for practice purposes and while healing may occur, we encourage you to focus on issues that are well within your system's window of tolerance. 

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.  

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Correo electrónico *
Registrant Full Name & Pronouns (First, Last, pronouns) *
If licensed, please add corresponding title below: *
Phone Number *
Street Address (Please provide the full address that you want your supplies mailed to): *
Country *
City, State, Zipcode (please don't forget zip) *
Will someone else be making your payment for you? If yes, please list their name below. If not, write "No" in field.
 *
Organization *
Please select an option below. If you need a payment plan or discounted rate, please email indigenacounselingandwellness@gmail.com for arrangements. Please note that any discount is not a generic discount but to provide access based on financial need/demonstrable financial hardship.  YOU WILL BE REDIRECTED TO A PAYMENT PAGE WHEN YOU COMPLETE THE REGISTRATION FORM. *
How did you hear about the training? *
Please indicate if you have already completed a Phase I training. *
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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.  We aim to have representation of all participants and will also use social identity as part of our selection process. If comfortable, please indicate your social identities as part of your description.  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 or phone the day before the training begins.
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.   By signing up for one of our trainings, you are agreeing to the following policies. "1. You will be charged upon confirmation via your credit card through our payment system Stripe. We do not store your credit card information or share your registration information with anyone. 2. Refunds are available less credit card fees up to 2 weeks prior to the start of the class. After that, you will get a refund less $150 to cover supplies and proprietary information. Alternatively, you can transfer up to 3 times without penalty if you notify us before class starts. No-shows will receive only one additional opportunity to take the class and no longer qualify for a refund. 4. Supplies will be mailed to the shipping address provided; it is the buyer's responsibility to enter the correct address or inform us of any change before materials are shipped. 5. CEs are available for an extra fee (please click on CE link to purchase) and must be purchased before the class ends."  NO REFUNDS WILL BE ISSUED AS A RESULT OF PARTIAL ATTENDANCE. PLEASE ENSURE YOU ARE ABLE TO BE FULLY PRESENT FOR THE ENTIRE TRAINING.
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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.   *
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