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)
Address(Required)
Date(Required)
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Faculty

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

Ren Barnebey
M.F.T.

Christine Campbell
M.F.T., A.T.R.

Lynne Jacobs
Ph.D.

Michelle Seely
M.F.T.

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

Pacific Gestalt Institute

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