Registration for Hakomi Mindful Somatic Psychotherapy: An Experiential Introduction

Registration

Hakomi Mindful Somatic Psychotherapy:
An Experiential Introduction
with Melissa Grace, MA, Certified Hakomi Trainer
and Rebecca Stone, LCSW, CHT

JUNE 19-20, 2021
ONLINE

Saturday & Sunday
10:30-1:30 & 2:30-5:30 EDT (Eastern time)
8:30-11:30 & 12:30-3:30 MDT (Mountain time)

This workshop is mainly scheduled for people in Northeast U.S. and Colorado/Mountain time zones, and can also serve as the prerequisite for Hakomi Comprehensive Trainings in these areas.
(If you need the prerequisite for a Comprehensive Training in another area please inquire)

*(Required)

*Your Name

Degree or Credentials (Optional)

Pronouns (Optional)

*Street:

*City:

*State or Province:

*Zip or Postal Code:

*Country:

*Cell phone:

Work Phone:

*Your Email

*Occupation:

Employer (optional)

*Are you a student?
YesNo

If student, name of school and program:

*How did you hear about the workshop? (Check one or more)
Hakomi Institute WebsiteHakomi EmailPsychotherapy Networker: (Website, print magazine or conference?)Friend/ReferralOther (describe):

*Are you taking the workshop as (check one or more):
A prerequisite for the Hakomi Therapy TrainingA therapist or practitioner interested in learning more about HakomiFor personal growthFor other reasons (describe below)

If taking the workshop for other reasons, please describe:

CE’s requested:
NBCCSocial workerMFTProfessional counselorNo CEs requested
NBCC and NASW CEs are available for this workshop.

• Many states accept NBCC-approved courses for MFTs and professional counselors, please check with your professional organization requiring CEs to confirm this. (New York does not accept these so we are unable to offer CEs for NY at this time)
• NASW does not provide CEs for social workers in NY, NJ, MI, WV, ID, OR)