Application Form

Introductory Workshop:
To pay by check, please download the application form and mail with the check: 

Or, complete the form below to pay via PayPal.
Name
Address
City, State, Zip
Phone
Email
Occupation
Clinical License

Introductory Workshop:
Full tuition: $40.00*

* Any cancellation notice must be received one week in advance of the program starting date and an administration fee of $75 will apply. There are no refunds for missed weekends during the training year.
Faculty:
1626 Westwood Boulevard, Suite 104
Los Angeles, CA 90024
Tel: (310) 446-9720
Fax: (310) 475-4704