AIT Seminar Application

First Name *

Last Name *

Mental Health Professional Credentials (Ex. MS, PHD, CCHT, LPC) *

City *

State *

Zip Code (Just for USA)

Country *

Phone number

Email *

Website

Brief description of your work *

Others AIT Seminars you have taken

Which AIT Seminar are you interested to enroll in now? *

Responsabilty Agreement: "I fully understand that if I act out during an AIT event, I may be asked to leave without my money being returned, and may be told that I won't be able to come back. I understand that this is not meant as some kind of punishment, but rather as a way of protecting all the other students while they are working on their issues and in a vulnerable state of mind." *

Yes, I understand.

IMPORTANT: If you want to enroll in some AIT Seminars, go to the AIT Store: https://ait.institute/shop/