Having technical difficulties?
Contact Ian on 03 9015 9825
or ian@seaustralia.com.au
Personal Details
First Name
Last Name
Email Address
How did you hear about this event?
Professional Details
Current professional role. Include any area of specialisation.
Private practice or the organisation you work for.
Please describe any psychological, counselling and/or somatic models you have trained in, including touch, bodywork and/or movement modalities. Include if you have a mindfulness, meditation, yoga practice or any other approach where you may track internal experience.
Please tell us your interest in the NeuroAffective Touch® training and how you think it will benefit you.
Payment Options
Please select one of the following payment options
Pay by Bank transfer
Comments and Queries
If there is any other information you wish to provide or if you have a query then please enter it here.
If you have selected a payment plan, please advise your preference for the no. of instalments.
Terms and Conditions
 I agree that I have read and accepted the Somatic Experiencing Australia terms and conditions.
PRIVACY POLICY: We acknowledge that your personal details are confidential and they will not be shared with or sold to any third party.