Registration Form — Love, Regulation, Disruption & Repair Registration Form - Advanced Practices - Love, Regulation, Disruption and Repair Registration Form: Advanced Practices: Love, Regulation, Disruption and Repair. April 9 - 12, 2026, June 5 & 6, 2026 - if there are more than 24 registrants, we will add June 7th - with no additional fee, November 5 - 8, 2026 with Lisa Mortimore, PhD and Stacy Adam Jensen, MEd Name(Required) First Last Business Address(Required) Street Address Address Line 2 City Province Postal Code Business Phone(Required)Business Email(Required) Are you registered with a professional body?(Required) Yes No Professional Body Program Description and Expectations This training program provides an opportunity for therapist development and evolution, both clinically and personally. It is rigorous, both academically and experientially. Participation is restricted to practicing therapists with an active caseload and who have completed the BBP Somatic Attachment Psychotherapy two year training. Demonstration involving participant material and explicit group process work is a core part of this training. All participants are encouraged to engage fully. Experiential components will be supported by skilled facilitators who guide individual therapists, small group learning, and clinical practice development, including active coaching during practice sessions. Group case consultations are included in the training cost and provide an opportunity to integrate clinical material into practice. Attendance is encouraged but not mandatory. We are now including a space for advanced practices students in the BBP group consultations. Info and link on the student hub. Confidentiality is a fundamental requirement. Participants must respect and protect the confidentiality of fellow participants and their own clients. We recommend that participants engage in therapy during the training. To practice somatic relational therapy effectively, it is necessary to engage in it personally. Your personal material may be stirred in the training. It is strongly recommended that participants arrange professional support (supervision/consultation) with someone experienced in this work during training. The training is conducted entirely online. Participants must have a stable internet connection, a computer/laptop with a camera, and a private workspace. Phones, iPads, or tablets are not sufficient for full participation.AI notetakers are not allowed nor is recording in any other way. Training is delivered via Zoom for Healthcare. Participants should ensure their internet meets Zoom’s system requirements: Zoom System Requirements. Please refer to the BBP Code of Conduct and Terms of Participation for further details. Registration and Information For any questions regarding registration, please contact: Email: trainings@lisamortimore.com Phone: 250-514-4731 Program Fees Total Training Fee: $2887.50 including GST. Cost per clinic: $1,155.00 per 4 day clinic, $577.50 for the 2 day clinic; gst included Clinic Dates: April 9 - 12, 2026 June 5 & 6, 2026 - if we have more than 24 registered, we will add June 7th November 5 – 8, 2026 Next Steps After Submitting This Form To complete your registration, please follow these next steps: Review the BBP Code of Conduct and Terms of Participation: Click here to complete the form. Send your non-refundable deposit of $315.00 (includes GST): Please e-transfer the payment to trainings@lisamortimore.com to secure your spot. If you have any questions, please contact The Savoy Clinic at: Email: trainings@lisamortimore.com Phone: 250-514-4731 Fee Agreement(Required) I confirm have read and agree to the below Fee Agreement.Registration for the program requires payment of a non-refundable deposit of $300.00 plus GST in order to secure your space. The Savoy Clinic reserves the right to seek full payment for any clinics not attended. In other words, in registering for this training, you are registering for all three clinics and agree to pay the full amount for the training – $2887.50 including GST, whether you attend or not.BBP Code of Conduct(Required) I confirm have also read and agree to abide by the terms set out in the BBP Code of Conduct and Terms of Participation.Signature(Required)Date(Required) MM slash DD slash YYYY
