To register for the Imago Clinical Training, please fill out the registration form below and hit submit. You will then be directed to the payment page. You can process your payment with Paypal, Venmo, or by using your Debit or Credit Card.

You can choose to pay for the Full Certification Training (Modules 1-3) or pay for each Module individually as you go through the training. We ask that each class is paid before we begin.

If you have any questions or difficulty with your registration, or would like to request at Grad Student or Cohort Discount, please contact Allison at allison@imagogeorgia.com

Name

First Name

Last Name

Phone

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you hear about the Training? (Online, Therapist, IRNA,Imago Training Institute, Friend)

Do you have experience with Imago Relationship Therapy? If so, what is your experience?

Have you attended an Imago Workshop (either Getting the Love You Want or Keeping the Love You Find)?

Please list your licensing credentials (or Grad School Focus) and share what you are hoping to take away from this training?

If you are purchasing CEUs, please supply your license number .

Will you be traveling to Atlanta for the training? If so, would you like information on hotels?

Please select which option for Days 1&2 you will be attending Online( Feb 6-7) or In Person (Feb 27-28)

Select a Registration Option

Cancellation Policy: Cancelled registrations are subject to non-refundable fees. For a full training payment of $3000, the refund will be minus a $100 non-refundable fee. For each of the other payment options, there is a $50 non-refundable fee.