Open Space Booking Form

Monthly Consultation

ai-EMDR Open-Space
Booking Form

Peer consultation · Case discussion · Community

1

Thanks for your interest in our monthly open space.

Please fill in the form below to let us know which sessions you’d like to join. We’ll get back to you with joining instructions and in due course with an invoice.

2

Who is this space for?

This space is mainly for those who’ve done Unleash Your EMDR Part 1 and beyond, though you’re welcome to join us if you’ve done other live EMDR Focus webinars — e.g. on interweaves, target identification/case conceptualisation, dreams or couples.

See you there.

Mark Brayne

Name

Given

Family

Email – make sure you enter this twice in the boxes below, to make sure there’s not a typo (often happens). *

Enter Email

Confirm Email – make sure you enter this twice in the boxes below, to make sure there’s not a typo (often happens). *

Confirm Email

Mobile/Cell phone. This needs to be entered without spaces, and please include your country code. E.g. +44 for UK, +1 for USA, +61 for Australia, etc. *

What’s your experience so far of Mark’s attachment-informed EMDR – please tick the most advanced level you’ve attended (Unleash Part 2 being the highest).

With Unleash Part 2 also in my toolkit, I’m steeped in this way of working

Done full live Unleash Your EMDR Part 1

Have done Mark’s training with Rotem Brayer’s EMDR Learning Community

Attended a shorter-form webinar live with Mark (e.g. dreams or couples)

Entirely new to Mark’s attachment-informed EMDR

Which webinar/events have you attended, short of Unleash Part 1

Please choose from this list of dates and times (all note Australia- and US-friendly timings alternating)

Where are you registered for tax purposes? Where are you registered for tax purposes?

How did you hear about this Workshop? *

In signing up to this event, attendees agree to EMDR Focus Terms and Conditions outlined here. Registering for the event is understood as acceptance of these terms – so before going ahead, please check them out,

By registering for an EMDR Focus workshop/webinar, I agree to take appropriate responsibility for my own emotional wellbeing, and to ensure I have access to any necessary therapeutic and/or supervisory support following the workshop. *

Yes

No

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ai-EMDR Open-Space Booking Form

In signing up to this event, attendees agree to EMDR Focus Terms and Conditions outlined here. Registering for the event is understood as acceptance of these terms – so before going ahead, please check them out,

ai-EMDR Open-Space
Booking Form