Registration for the May 19-21 Workshop

    Hakomi Mindful Somatic Psychotherapy: An Experiential Introduction
    (instructed in English language)

    May 19th - 21st, 2023, Online – Live
    Hours: Friday, 4-7pm, Break time: 5:15-5:30pm
    Saturday, 10am-1pm & 2:30-5:30pm
    Break time: 11:30-11:45am, 1-2:30pm, 4:30-4:45pm
    Sunday, 12-4:30pm, Break time: 2:30-3pm
    All hours are Mountain Standard Time (MST)

    Faculty:Rebecca Lincoln, LPC-S, Certified Hakomi Teacher

    This workshop is designed to provide experiential learning in Hakomi for professionals and graduate students and is also a prerequisite to the Hakomi Comprehensive Training.

    For program Description, Objectives, and CE Information, download the flyer HERE

    Registration

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    *Are you a student?

    NoYes

    If student, name of school and program:

    *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:

    *How did you hear about the Hakomi Therapy? (Check one or more)

    Hakomi Institute WebsiteHakomi EmailPsychotherapy Networker: (Website, print magazine or conference?)Friend/ReferralOther (describe):

    *CE’s requested:

    NBCCASWBNo CEs requested

    *Are there accommodations you require to make the workshop accessible?

    NoYes

    If you require accommodations, please describe

    *How do you identify yourself to others? i.e. is there anything you want our teaching team to
    know about your *social location, cultural identity, or other group membership (and optionally)
    that could help you participate more fully in the training? *An individual's social location is
    defined as the combination of factors including gender, race, social class, age, ability, religion,
    sexual orientation, and geographic location. This makes social location particular to each
    individual; that is, social location is not always exactly the same for any two individuals:

    What other information would you like to share about yourself?

    *Can we add you to our email mailing list?

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    *By typing my name here, I agree to pay for the entire workshop whether or not I attend both
    days. Refunds only on cancellations made at least 72 hours prior to workshop (less $75
    registration fee)