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/
- DBT in a Nutshell - February 13th and 14th, 2020 - $250 per attendee
- Diving Deep into DBT Skills - March 19th and 20th 2020 - $250 per attendee
- DBT for Adolescents and Families - April 2nd and 3rd, 2020 - $250 per attendee
- DBT for Substance Abusers - May 7th and 8th, 2020 - $250 per attendee
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.
Please enter the number of attendees you are registering.*
Group registration requires a team of 3 or more.
Please enter a value 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
Pre-order DBT® Skills Training Handouts and Worksheets, Second Edition
Pre-ordered Skills books will be available for pick-up at your scheduled training.
Price: $29.95 Quantity:
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/
- DBT in a Nutshell - February 13th and 14th, 2020
- Diving Deep into DBT Skills - March 19th and 20th 2020
- DBT for Adolescents and Families - April 2nd and 3rd, 2020
- DBT for Substance Abusers - May 7th and 8th, 2020
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/
- DBT in a Nutshell - February 13th and 14th, 2020
- Diving Deep into DBT Skills - March 19th and 20th 2020
- DBT for Adolescents and Families - April 2nd and 3rd, 2020
- DBT for Substance Abusers - May 7th and 8th, 2020
Pre-order DBT® Skills Training Handouts and Worksheets, Second Edition
- Pre-ordered Skills books will be available for pick-up at your next scheduled training.
Coupon Code
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
Attendees Email*
Please only include the email address of the training participant. Continuing education certificates are issued via email.

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

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code 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?*
- Colleague
- Email list
- Facebook
- LinkedIn
- ACCBO Website
- Current Employer
- Web Search
- DBT-L Listserv
- DBT-L Listserv
- Other
Can we send info about upcoming trainings?
- 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

If you are experiencing technical difficulties completing this form or would like to register by phone, please contact Christopher Williams, 503-290-3295 or cwilliams@pdbti.org

DBT Training Calendar

Friends and Family Workshop
Saturday December 14^th, 2019 | 9am to 12pm

Friends and Family Workshop
Saturday January 11^th, 2020 | 9am to 12pm

DBT in a Nutshell:
Treating Multi- Diagnostic,
Complex Individuals
February 13^th and 14^th, 2020
Charlotte Thomas, LCSW

Diving Deep into DBT Skills:
An Overview of the New and Old DBT Skills
March 19^th and 20^th, 2020
Erica Tan, PsyD

DBT for Adolescents and Families
April 2^nd and 3^rd, 2020
Andrew White, PhD

DBT for Substance Abusers
May 7^th and 8^th, 2020
Linda Dimeff, PhD

See More

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DBT-LBC Certified Clinicians

We are proud to have clinicians certified by the Linehan Board of Certification, the most stringent certification available regarding the practice of DBT.

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Friends and Family Workshop

If your friend or family member is living with Borderline Personality Disorder or another disorder that involves emotional dysregulation, please join us for our next Friends and Family Workshop.