PDBTI Training Registration

Are you registering for an individual or a group?
Group registration available for groups of 3 or more. All others please use the individual registration form.
- Individual Registration
- Group Registration

Group Registration
Group Registration: Please select the event you would like to register your team for.*
For more information on any of these events, please visit our training page. https://www.pdbti.org/dbt-training/
- Optimizing Eating Disorder Treatments with DBT - May 20-21, 2024
- DBT for LGBTQ+ Clients - June 7, 2024
- Diving into DBT Skills for Adolescents and Caregivers - June 13-14, 2024
Agency
Please tell us the name of the agency or group that you are registering. If you are registering a group that is in private practice, please specify "Private Practice."
Primary Group Contact*
Please add the name of the primary contact responsible for registering your group.
First Last
Primary Group Contact Phone Number
Primary Group Contact Email Address*
Enter Email Confirm Email

Attention Yahoo, AOL, and Hotmail users! Please use an alternative email address to avoid delayed or failed email delivery and to ensure you receive important information about your registration.
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Primary Group Contact Email Address

Attention Yahoo, AOL, and Hotmail users! Please use an alternative email address to avoid delayed or failed email delivery and to ensure you receive important information about your registration.
Please enter the number of attendees you are registering.*
Group registration requires a team of 3 or more.
Please enter a number greater than or equal to 3.
Please list all attendees, including the primary contact if they are attending.
To add each additional individual, please use the plus sign on the right.
First name Last name Email address Degree / Licensure Direct contact number
Total
$0.00

Individual Registration
Training Registration*
Please Choose Standard or Student registration. Only students currently pursuing degrees in social work or mental health are eligible for Student Registration.
- Standard Registration
- Student Registration
Standard Registration: Please select the events you would like to register for.*
For more information on any of these events, please visit our training page. https://www.pdbti.org/dbt-training/
- Optimizing Eating Disorder Treatments with DBT - May 20-21, 2024
- DBT for LGBTQ+ Clients - June 7, 2024
- Diving into DBT Skills for Adolescents and Caregivers - June 13-14, 2024
Student Registration: Please select the events you would like to register for.*
For more information on any of these events, please visit our training page. https://www.pdbti.org/dbt-training/
- Optimizing Eating Disorder Treatments with DBT - May 20-21, 2024
- DBT for LGBTQ+ Clients - June 7, 2024
- Diving into DBT Skills for Adolescents and Caregivers - June 13-14, 2024
Total
$0.00
Attendee Name*
First Last
Please identify attendee's degree and/or licensure.
- PhD
- PsyD
- MD
- RN
- LCSW
- LPC
- MSW
- MFT
- LMFT
- CADC I
- CADC II
- QMHP
- MA
- BA
- Other
Please list atendee's licensure.
Note: Your selections will follow your name on your training completion certificate. Example: Jane Doe, LPC, CADC II
Agency
Affiliation
Attendee Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Extension
Attendee's Email*
Attention Yahoo, AOL, and Hotmail users! Please use an alternative email address to avoid delayed or failed email delivery and to ensure you receive important information about your registration.
Enter Email Confirm Email

Coupon Code
Registration Total
$0.00
Billing*
Please select how you or your team will be paying for registration. All team payments must be paid as a single transaction.
- Pay now by credit card
- Invoice and pay by check
Credit Card
Card Details
Cardholder Name
Training registrations will not be guaranteed until payment is received in full.*
Payments by check are due 10 days prior to training.
- I understand
Administrator Responsible for Invoicing
First Last
Administrator Phone
Please add the phone number of the manager, supervisor, or financial administrator responsible for invoicing.
Administrator Email
Please add the email of the manager, supervisor, or financial administrator who will receive the invoice.
Billing Address
Same as attendee address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
How did you hear about us?*
- Previous Training
- Mailchimp Mailing List
- Twitter
- Facebook
- LinkedIn
- Instagram
- ACCBO Website
- Current Employer
- Colleague
- Web Search
- DBT-L Listserv
- Other
If you chose "other" please tell us more
May we add you to our email list?
- Yes
- No
Questions / Comments
CANCELLATIONS AND REFUNDS: A $60.00 handling fee will be deducted upon cancellation. Refund requests by fax or email must be received two weeks before the start date.*
- I understand
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If you are experiencing technical difficulties completing this form or would like to register by phone, please contact our Training Department, 503-290-3295 or training@pdbti.org.

DBT Training Calendar

Diving into DBT Skills
April 25-26, 2024
April Sobieralski, PhD, DBT-LBC

(Free CE Hour) Navigating the Substance Use Disorder Landscape
May 8, 2024
K. Michelle Peavy, PhD, MAC, SUDP

Optimizing Eating Disorder Treatments with DBT
May 20-21, 2024
Amy Kalasunas, LPCC-S, CCMHC
Dean Malec, PhD

(Exclusive One-Day) DBT for LGBTQ+ Clients
June 7, 2024
Kim Skerven, PhD, ABPP, DBT-LBC Jake Camp, DClinPsy

(Free CE Hour) An Introduction to the Collaborative Assessment and Management of Suicidality (CAMS) Framework
June 12, 2024
David A. Jobes, PhD, ABPP

Diving into DBT Skills for Adolescents and Caregivers
June 13-14, 2024
Jamie Bedics, PhD, ABPP

(Free CE Hour) The Racial and Historical Context of Zen and Buddhism: Considerations for DBT practitioners
July 10, 2024
Cristina Moon

DBT Comprehensive Implementation & Training Intensive (CITI) Part I
October 7-9 & 15-16, 2024
Andrew White, PhD, ABPP, DBT-LBC
Erica Tan, PsyD, DBT-LBC

See More

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First name	Last name	Email address	Degree / Licensure	Direct contact number