Training Registration
Please refer to the Training Details page prior to submitting your registration.
The EMDR Institute training is an internationally recognised and certified training.

To register for an EMDR Institute training, please complete the details below and forward a copy of your qualifications to the address given.
Verification of qualifications has become necessary as there have been instances of people misrepresenting themselves in order to attend the training.

Please note that registration is not complete until payment has been received.
Payment may be made by cheque or via credit card over the phone.

Contact:
Ph: 0428 796 373
Payment may be made by direct bank deposit or by credit card over the phone. Bank details will be provided upon request.

Course Details
   Course:
 
Contact Details
   Title:
   First Name:
   Surname:
   Profession: Psychology    Psychiatry    Social Work    Counsellor**
Other       Please Specifiy:

** NOTE: A minimum of four-year qualification is required.
   Education:
   Address:
   Postcode:

 

   Phone:
   Email address:
  
Weekend 2 Applicants:
   Name of Supervisor/s:
   Note:

Weekend 2 applicants will need to email a copy
of their completed supervision sign-off forms to
sigburz@bigpond.net.au