Application Form – Introductory Workshop

We will email you when we receive your application. The email will include details on submitting the $60 workshop fee.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Occupation

Professional License

License #

Date(Required)

Please make a selection - Required

June 8, 2025

Introductory Workshop - Full Tuition(Required)

Price:

Name

This field is for validation purposes and should be left unchanged.

Faculty

Armin Baier
L.C.S.W., J.D.

Gary Yontef
Ph.D., A.B.P.P.

1800 Fairburn Ave
Suite 103
Los Angeles, CA 90025
email us