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Registration form
First name
*
Surname
*
Title
Mr.
Mrs.
Profession
*
Please select...
Psychologist
Physiotherapist
Occupational therapist
Physician
Coach
Other
Phone number
*
E-mail address
*
Company
Invoice address
*
Postal code
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City
*
Country
Registers for the following classroom course(s):
*
October 23-24, 2025 - Biofeedback didactic training course, Amersfoort, The Netherlands (675 euro, 2 days, excl online course)
October 25-26, 2025 - Neurofeedback didactic training course, Amersfoort, The Netherlands (675 euro, 2 days, excl online course)
February 13-14, 2026 - HRV biofeedback didactic training course, Amersfoort, The Netherlands (675 euro, 2 days incl online program)
Orders the following online material:
*
BCIA biofeedback online 42-hour didactic training course (375 euro)
Biofeedback treatment of hypertension - a full protocol (121 euro)
HRV certification practice exam (25 euro)
Requests (HRV) biofeedback mentoring by Danielle Matto, MA, BCIA BCB-HRV
(we will contact you to pick a date and time)
:
*
Mentoring session 30 minutes, online (45 euro)
Mentoring session 60 minutes, online (90 euro)
Mentoring session 90 minutes, online (135 euro)
Mentoring session 120 minutes, online (180 euro)
*
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Invoer verplicht
Dit formulier is gemaakt met
www.formdesk.nl
