Registration for the October 21-23 Workshop

Online – Live
IF THE BUDDHA WERE YOUR THERAPIST:
An Experiential Introduction to Hakomi Mindful Somatic Psychotherapy

October 21st-23rd, 2022
This workshop is designed to provide experiential learning in Hakomi for all practitioners of the healing arts including therapists, pastoral counselors, coaches, somatic educators, etc.

Faculty: Gregory Gaiser, PC, Certified Hakomi Trainer; Click HERE to see Gregory’s bio.

Hours: Friday: 4pm-6pm,
Saturday: 10am-1pm & 2pm-5pm,
Sunday: 10am-2:30pm
with a 30-minute break each day
Please note: all hours are Mountain Daylight Time (MDT)

Cost: $295 if paid by 10/7/22; $335 thereafter (includes $75 non-refundable deposit/admin fee)
Partial scholarships may be available for anyone with membership within a community of color or other marginalized groups. Please reach out to registration@hakomi.org if interested. Learn more about how we’re embodying our commitment to Diversity Equity and Inclusion by clicking here.

CEs: 12 CE hours for the Texas State Board of Examiners of Professional Counselors, the Texas State Board of Examiners of Marriage and Family Therapists, & the Texas State Board of Social Work Examiners, meets requirements as stated by the Texas Behavioral Health Executive Council https://bhec.texas.gov/ Hakomi Institute of the Southwest maintains records to meet standards for continuing education for Texas. Please check with your local CE Provider to see if reciprocity is offered. For more information, reach out to southwest@hakomi.org

For more information or agenda details email: registration@hakomi.org or call 303-499-6699
Last day to register & pay is October 17th, 2022

Registration

*(Required)

*Name

Pronouns (Optional)

*Name you would like on your certificate of completion

Degree or Credentials (Optional)

Mailing address (required)

*Address:

*City:

*State or Province:

*Zip or Postal Code:

*Country:

Business address (if different from above)

Address:

City:

State or Province:

Zip or Postal Code:

Country:

*Phone number:

*Your Email

*Occupation:

Employer (optional)

*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:
NBCCTexas State BoardNo 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?
NoYes

*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)