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What type of attendee are you?

Professional

Licensed professional in a mental health profession.

May be in supervised practice. May be awaiting licensing.

Student or repeating Phase 1

Student in final year of training for a licensed mental health profession, working no more than 3 days per week.

Have taken Phase 1 before, with any trainer worldwide - let us know who and when.

Salutation

*First name

*Last name

*Email address

Company / Institution Name

*Phone number for contact DURING the training

*BEST Address for mailing materials to you

*City

*Country

*Province/State

*Postal/Zip code

Professional Discipline (Social Worker, Registered Psychotherapist, Psychologist, etc)

License/registration number and jurisdiction (eg province, state). Enter N/A if not applicable.

If you are a student, please give title of program, name of institution, and expected date of completion. Enter N/A if not applicable.

If you are repeating, please give month/year of original training and name(s) of your original trainer(s).

*Highest degree/level of education

*Emergency Contact - name and number

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Brainspotting Phase 1 - April 17 - 19, 2026 (Eastern Time) Privacy Policy Contact and Support Event Registration by SimpleSignup.ca