Application Form – Introductory Workshop

We will email you when we receive your application and workshop fee.

Name

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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

July 13, 2025

Introductory Workshop - Full Tuition(Required)

Price:

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
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