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Waiting List Request

Please fill out the following information to be put on a waiting list for the course or group you want to be part of.

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Question 1 of 5

Name

Question 2 of 5

Email Address

Question 3 of 5

Phone Number (with area code & country code please)

Question 4 of 5

Course Name (including Month and Year) that you want to be put on a waiting list for:

Question 5 of 5

By submitting this form, you are signing up for our email list. What information are you most interested in hearing about? 

(Select all that apply)
A

I am interested in one of Bonnie Weiss's courses, which include learning IFS and training in IFS for therapists.

B

I am interested in becoming a member of an Interactive IFS group with Jay Earley.

C

I am interested in professional training to lead Interactive IFS groups with Jay Earley.

Confirm and Submit