Australia/NZ Booking Page 2027Australia/NZ 2027 Booking Given Name * Family Name * Email * Enter Email Confirm Email * Confirm Email Mobile/Cell phone – please include your national code (+61, +64, +44 or other…). Please enter with NO SPACES. * What’s your level of training in EMDR? * Basic Foundational Accredited/Approved Practitioner AccreditedApproved Consultant EMDR TrainerWhich workshop would you like to book/register for? * Perth (Jan 22–23, 2027) — with full catering A$790 Sydney (Jan 29–30, 2027) — with full catering A$790 Melbourne (Feb 5–6, 2027) — A$690 Auckland (Feb 12–13, 2027) — NZ$625 Brisbane (Feb 18-19, 2027) – A$495If we’re able to livestream these workshops would you be interested in either live attendance online or in a recording? Intend to be there in person If the workshops are live-streamed, I would like to join online I might be interested in recording-onlyHow familiar are you already with Mark’s model of attachment-informed EMDR (ai-EMDR) * I already live and breathe this stuff I’ve done some basics with Mark, but still fairly green I’m keen on EMDR, but specifically attachment-informed is new to me Just curious If you’ve already done a workshop/webinar with Mark, tell us a bit more * Payment options… I’m happy to pay the full price for the workshop I’ve chosen I’d like to ask for a discount, and will explain why in the box that shows Why I’m asking for a discount (acknowledging that the team won’t necessarily say yes) * To whom should the invoice be made out * To myself personally, as named above. To my organisation, who are paying for this. What’s the name of your organisation? * Where are you registered for tax purposes? * AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe What I’d really like to get out of this workshop is….. (Optional) Might you like in principle to volunteer for one of the live sessions with Mark? (Optional) You must be joking! Not in a million years. I might just consider it, but won’t insist. Recognising that a Yes here won’t necessarily mean being selected on the day, definitely put me down in principle as keen. Thinking EDI, dietary requirements, accessibility etc, anything helpful you’d like to add before sending this off? By ticking the Yes box below, I acknowledge that in managing the information in this form, EMDR Focus Ltd will observe all requirements of GDPR. * Yes NoSubmit If you are human, leave this field blank.
