Statement of Interest for Certification Training in Prenatal Counseling and Body-Centered Hypnosis for Childbirth

Name:

Address:

Phone:

e-mail:

List specific training credentials, degrees, licensure or clinical experience:

Briefly, how would you like to use this training?

I certify that I will honor the confidentiality of the case material and return of all library DVD’s of live cases.

sign: _______________________________________________________________ date: _______________________

36 CEUs and Certification will be granted to those completing the course and all assignments.
12 CEUs will be given for completing the first module.

 Please feel free to include your CV or resume.

 e-mail responses to:
gp@askdrgayle.com

or print and mail to:

Gayle Peterson, PhD
Prenatal Counseling Training Program
19861 Buck Ridge Rd.
Grass Valley, CA 95949

phone/fax: (530) 346-2534

 This training is designed specifically to allow you to offer prenatal counseling and birth related hypnosis in your clinical practice. Training materials include DVD lectures and live client sessions, as well as 5 assignments. Lecture DVD’s and manuals will be provided and kept by students.  Students will purchase books and return all library DVD’s.

Credit card payment may be made by PayPal (preferred) or via check sent to the above address.

To pay $695. To reserve a space in the 36 CE Certification Training * or to register for the 12 CE introductory module*	Click here
To pay $600.  (Remainder of full training) due prior to beginning the second module*	Click here
To pay $1295 Payment in full and to reserve your space in the training*	Click here

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*Refund/cancellation policy:

Fees are nonrefundable due to limited enrollment, in order to preserve the training for all who commit, except in the case of unforeseeable circumstances that would cause cancellation of the training by the facilitator. In unexpected participant emergencies, arrangements for credit for future training may be possible, if space permits.

Questions?

Please contact Dr. Peterson gp@askdrgayle.com