Psilocybin Experiential Training & Practicum Certificate Interest Form 
Hands-on learning from licensed and experienced mental health clinicians - 10 CEU's offered

4 nights at private villa
$2999 all inclusive; Local Jamaican rate: $1500

Covers food, lodging, trainings, sound bowl meditation, co-guide and journey experiences with medicine, art integration, small group integration and learning

Remaining dates for 2024: March 14th-18th; June 13th-17th; Aug 8th - 12th
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Email *
Full Name *
DOB *
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Phone Number  *
Educational Training (please specify name/s of training, dates & institution) *
Name of Employer *
State of Licensure (if applicable) *
Type of License & License Number (for CEU purposes) *
Certifications held *
Previous Experience Using Psilocybin  *
Do you have any previous experience (formal or informal) as a guide? *
Required
If yes, please explain:
Which dates work best for your training? *
What level training are you interested in? *
If you have specific questions and would like to consult, please let us know date and time that work best for you. *
How did you hear about our training program? *
Please note that registration is taken on a 1st come/1st serve basis. 

Please use the secure payment link on our MPB Group website training page to register  and hold your space:
https://www.mpbhealth.com/psychedelic-experiential-training/
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Discount/Referral Code 
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