Skip to content
Toggle Navigation
Join Our Mailing List
What is Attachment-Informed EMDR?
Main Menu
Home
About Us
Workshops
Unleash your EMDR Part One. The Basics of Advanced, Attachment-Informed, Integrative EMDR
Unleash your EMDR Part Two. AI-EMDR with Intergenerational Trauma, Parts/Ego States and Dreams.
Unleash your EMDR with Couples
Live Monthly AI-EMDR Therapy Demonstration/Discussion Workshop
Workshop Support
Unleash Your EMDR Workshop Support Materials
Unleash Materials – Part 1
Unleash Materials – Part 2
Unleash Materials – Couples
Live Monday/Thursday Workshop Guidelines
Workshop Feedback
Live Sessions Feedback Form
Individual Payments
Advance Information for ‘Unleash the Magic’ Online EMDR Workshops
EMDR Therapist Support
Leading Edge Workshops
What is Attachment-Informed EMDR? For Therapists
What is AI-EMDR? For Clients
EMDR Supervision
Online EMDR Therapy
ASD/Aspergers
Adjunctive EMDR
EMDR with Couples
Resources & Articles
Associate Therapists
Who We Are
Mark Brayne
Katie Smith
Jutta Brayne
Annabel McGoldrick
Kristina Sandstrom
Maxine Sherrell
Shawn Katz
Sarah Robinson
James Thomas
Claire van den Bosch
Priscilla Short
Testimonials
Blog
Intergenerational
Addictions
Couples
EMDR Online
Find an AI-EMDR Therapist
Basic Trainings in EMDR
Contact Us
Join EMDR Focus Mailing List
Join Attachment-Informed EMDR Google Group
EMDR Focus Informal Referral Network
Visit Braynework Psychotherapy
Search for:
Call Us:
07711 888682
Email Us:
info@emdrfocus.com
Search for:
Menu
Home
About Us
Workshops
Unleash your EMDR Part One. The Basics of Advanced, Attachment-Informed, Integrative EMDR
Unleash your EMDR Part Two. AI-EMDR with Intergenerational Trauma, Parts/Ego States and Dreams.
AI-EMDR with Couples
AI-EMDR with Dreams
Live Monthly AI-EMDR Therapy Demonstration/Discussion Workshop
AI-EMDR Triad/Dyad Practice Days
Workshop Support
Unleash Your EMDR Workshop Support Materials
Unleash Materials – Part 1
Unleash Materials – Part 2
Unleash Materials – Couples
Unleash Materials – Dreams
Live Monday/Thursday Workshop Guidelines
Workshop Feedback
Live Sessions Feedback Form
Individual Payments
Advance Information for Unleash Your EMDR Online Workshops
EMDR Therapist Support
Leading Edge Workshops
What is Attachment-Informed EMDR? For Therapists
What is AI-EMDR? For Clients
EMDR Supervision
Online EMDR Therapy
ASD/Aspergers
Adjunctive EMDR
EMDR with Couples
Resources & Articles
Associate Therapists
Who We Are
Mark Brayne
Katie Smith
Jutta Brayne
Annabel McGoldrick
Kristina Sandstrom
Maxine Sherrell
Shawn Katz
Sarah Robinson
James Thomas
Claire van den Bosch
Priscilla Short
Testimonials
Blog
What is Attachment-Informed EMDR?
Intergenerational
Addictions
Couples
EMDR Online
Basic EMDR Training
Find an AI-EMDR Therapist/Supervisor
Contacts & Lists
Contact Us
UWE Research Application
Join EMDR Focus Mailing List
ASD/Aspergers
Join Attachment-Informed EMDR Google Group
Join EMDR Focus Informal Referral Network
EMDR with Couples Booking Form
emdrfocus
2022-08-25T20:48:54+01:00
3.2 Couples Booking Form
Thanks for your interest in our day on AI-EMDR with Couples, and here’s where to book.
Name
*
Name
Given
Given
Family
Family
Email
*
Enter Email
Confirm Email
*
Confirm Email
Phone – ideally mobile. Note that this needs to be entered without spaces. Please include your country code (eg +44 for UK, +1 for US/Canada, +61 for Australia etc.)
*
Please confirm which date you are booking for
*
Friday February 17 2023, 1030-1700 UK time
How do you want to register?
*
I will pay for this Workshop now (self-select fee – £60 recommended) by credit/debit card.
I need a separate invoice for the organisation paying for this.
Self-Select fee (£60 recommended, inc VAT)
*
Level of EMDR Training – note that this workshop is open only to colleagues who have done the full basic EMDR training.
*
At least Part 3 (Part 2 in AU/NZ/US)
Accredited Practitioner
Accredited Consultant
Accredited Trainer
Other
Other
Have you done our Unleash Your EMDR Part 1 workshop already?
*
Yes
No
Please confirm when you did your Unleash Part 1.
*
How would you primarily describe yourself?
*
Psychotherapist
Counsellor
Psychologist
Psychiatrist
Nurse
Other
Other
Primary Accrediting Organisation (e.g. UKCP, BACP, BABCP, BPS etc) NOTE THAT THIS IS NOT YOUR NATIONAL EMDR ASSOCIATION.
*
Where are you registered for tax purposes
*
UK
Outside the UK (whether EU, US, NZ/AU or elsewhere)
How did you hear about this Workshop?
*
By registering for an EMDR Focus workshop, and recognising that participation can involve both observation and personal experience of sometimes profound trauma processing, 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
By ticking the Yes box below, I acknowledge that in managing registrations for this workshop, EMDR Focus Ltd will observe all requirements of GDPR.
*
Yes
No
Anything else you need us to know about your booking/registration.
Credit Card
*
Submit
Δ
Page load link
Go to Top