Weekly Live Sessions Booking Form

Thanks for your interest in the Live Session workshops with Mark, and please fill the form in below to let us know which ones you'd like to join us for.

How do you want to register?

I will pay for individual Live Session Workshop(s) now by credit/debit card.

I will pay for 10 dates in one go at discounted price of £650.

I will pay for individual Refresh the Magic: Facilitated Practice Session(s) now.

I need an invoice for my organisation to pay for this.

I am just registering interest for the future, and not at this point booking anything.

Total Cost of Bookings: please multiply the number of sessions you are booking by GBP£75, or enter GBP£650 if you are booking all as one bloc with discount. NB don't use the pound sign, just the number.

Name

Given

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.) *

Level of EMDR Training *

Not EMDR trained

Still training (Part 1 only)

At least Part 3 (Part 2 in AU/NZ/US)

Accredited Practitioner

Accredited Consultant

Accredited Trainer

OtherOther

Anything else you need us to know about your booking/registration.

Have you done Unleash Your EMDR Part 1 already?

Yes

No

Please confirm when you did your Unleash Part 1.

How would you primarily describe yourself? *

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

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

Credit Card