BBP May 2025 Registration Form Somatic Attachment Psychotherapy Training Registration Form: Online May 2025 Cohort with Lisa Mortimore, PhD and Stacy Adam Jensen, MEd Name(Required) First Last Address(Required) Street Address Address Line 2 City Province Postal Code Phone(Required)Email(Required) Educational Degree and Discipline(Required)Are you registered with a professional body?(Required) Yes No Professional BodyRegistration NumberPlease include a copy/picture of your graduate degreeMax. file size: 128 MB.What kind of work do you do? What population do you work with primarily? What setting do you work in?How did you hear about this training?Referral from a colleagueReferral from a past participantGoogle searchSocial media (Facebook, Instagram, LinkedIn, etc.)EmailNewsletter or blogPodcast or interviewConference or workshopProfessional association (BCACC, CCPA, etc.)OtherPlease specify: 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 a graduate degree in a clinical mental health discipline. Each training cohort is limited to 27 students. 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. 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. Confidentiality is a fundamental requirement. Participants must respect and protect the confidentiality of fellow participants and their own clients. To practice somatic relational therapy effectively, it is necessary to engage in it personally. A list of recommended somatic relational therapists will be provided. 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. 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 Cost per clinic: $1,100.00 + GST Clinic Dates: May 1 – 4, 2025 September 11 – 14, 2025 January 15 – 18, 2026 Year Two Dates: TBA Next Steps After Submitting This Form To complete your registration, please follow these next steps: Submit your BBP Code of Conduct and Terms of Participation: Click here to complete the form. Send your non-refundable deposit of $300.00 + GST ($315.00): 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 agree to pay the full amount for all six clinics – $6930.00 plus GST.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
