EMDR Institute Virtual Training Information & Participant's Agreement
PO Box 750 • Watsonville, CA • 95077Tel (831) 761-1040 • FAX (831) 761-1204
Please read the following in its entirety and sign
The undersigned acknowledges that they have been advised and understand the following:
AFTERNOON PRACTICUM EXERCISES
WEBSITE REFERRAL LISTING
Once the Certificate of Completion has been issued, participants will be added to the EMDR Institute online referral listing. Please indicate below if we have your permission to list your name, city, state, zip code, and business phone number.
Add me to the Online Referral Listing YesNo
This Participant’s Agreement will apply for both W1 and W2 trainings
Terms & Conditions: (call the office to arrange)
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: EMDR Institute Virtual Training Information & Participant's Agreement
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