Registration Form for Certification in Open Focus
™
Training
and/or Neurosynchrony Training
Please provide us with your personal information and the desired type of training, including requested
dates for individualized Mini-Intensives. Once received, we will contact you to finalize registration
payment and arrangements for training.
Your name:
Your mailing address:
Your phone number:
Your e-mail address:
Professional Degree:
Interest in Certification for (please choose only one):
Open Focus Training Certification
Neurofeedback Synchrony Training Certification
BOTH Open Focus Training Certification and Neurofeedback Synchrony Training Certification
Training Preference:
Workshop
Individualized Mini Intensive
Training Dates Requested:
Please indicate month and dates you are interested in for your training
and certification.
Referred by:
The Open Focus Brain- Harnessing the Power to Heal Mind and Body by Les Fehmi, Ph.D. and Jim Robbins
Open Focus Website
Doctor's Referral
Radio Interview
Magazine/Newspaper Article
Other
