Registration Form: Beyond Core Skills™ Hawaii 2019
PLEASE NOTE: THIS FORM IS NO LONGER THE BEST WAY TO REGISTER FOR BEYOND CORE SKILLS™ HAWAI'I! To register and for more information, please do two things:

1. Add jamieandsarah@beyondcoreskills.com to your contacts so you will receive further emails from us. And
2. Go to www.beyondcoreskills.com/hawaii and complete the registration form there.

Do not complete the form below. Thank you!
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First Name: *
Last Name: *
Email Address: *
Work Phone Number: *
Address: *
License Type: *
License Number: *
I have completed an Externship and a Core Skills class with an ICEEFT-certified EFT Trainer. *
Externship: *
Please list the location, dates, and trainer name for your Externship.
Core Skills: *
Please list the location, dates, and trainer name for your Core Skills.
I have the training and educational qualifications to legally practice as a professional mental health practitioner OR I am in formal training to be a professional health practitioner. *
Participants must be familiar with and abide by professional and legal confidentiality requirements regarding all client information shared in the training. Completion of training does not guarantee competence or certification. Enrollment in this training constitutes an agreement to hold harmless The San Diego Center for Emotionally Focused Therapy, the Training and Research Institute for Emotionally Focused Therapy (TRI-EFT), and all presenters and trainers from any and all claims, actions, and judgements, including all costs of defense and attorney’s fees incurred in defending against the same. I have read and agree to follow the terms for participation. *
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