Embodied Imagination® Immersion

Registration Form

Early Registration: August 3, 2025

Final Registration: September 18, 2025

This program is offered in partnership with the School of Psychedelics, creator of the Embodied Imagination training.

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Embodywise is dedicated to fostering a diverse, equitable, and inclusive learning environment. Please explore our commitments to DEI on our website.

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Professional Information

What is your current profession? *

Education Degrees (include dates and institutions) *

If applicable, what is your license number and state, as it needs to appear on a CE certificate? (i.e. "LMFT 12345 CA") *

We'd like to know more about your scope of practice with psychedelics. Please tell us what training and/or experience you have in working with psychedelics. Are you trained as a psychedelic therapist? Have you had experience working in a clinical or research setting? *

Share any other work history not listed above. *

Learning Goals and Needs

We want you to feel comfortable and safe in this training. We also want to set the right expectations so you can get the most out of your experience.

Please note that this training is highly experiential and requires students to be open and curious to explore their own personal experiences and willing to engage in somatic practices, including movement and breathing practices. The learning is multi-disciplinary and will require small group learning and sharing. We expect students to be compassionate and inclusive of others about their experiences and be willing to examine one's own bias’s.

Why do you want to take this training, and how will you use it in your work? Please note any special populations you work with. *

Is there anything you would like us to know about how we can make your learning experience most beneficial? Do you have any special needs we can accommodate? *

Scholarship Form

We are committed to making our training available to underrepresented groups such as People of the Global Majority, LGBTQIA+, military service members, veterans, first responders, persons with disabilities, and those experiencing economic marginalization.

As a nonprofit, we have a limited amount of scholarships available. We respectfully ask for your transparency in completing the scholarship questions. Our goal is to make our programs as accessible and equitable as possible while stewarding the financial health of our organization. Scholarship amounts are based on the regular registration price, not the early registration price.

Are you experiencing financial hardship?

Please select all of the following that apply to your current financial situation.

Please provide any more context on your selections above that would be helpful for us to know.

Do you primarily serve historical underserved or disadvantaged populations?

Please select all of the following populations that you primarily serve.

Please provide any more context on your selections above that would be helpful for us to know.

Please provide the approximate number of clients you serve each year. This will help us communicate the impact of our programs and scholarships to donors.

Please share any other extenuating circumstances we should be aware of.

Please share what tuition amount you are able to pay, keeping in mind that payment plans are available.

Full tuition is $1295. The maximum scholarship amount available for those in greatest need is $395.

Registration Deposit and Acknowledgments

An invoice for your remaining tuition will be emailed to you after your registration is confirmed and processed. Tuition must be paid in full 14 days prior to the start of the training.

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Embodied Imagination®: Deposit

This deposit must be paid to complete your registration. If for any reason, you do not meet the prerequisites for this program, it will be refunded to you in full.

$400

Please acknowledge the following statement:

I confirm that I have reviewed the cancellation policy and liability waver for this live event and hereby consent to its terms.