DBT Informed Music Therapy Program

Fall 2024 Application

Congratulations for enrolling your music therapist(s)

The first step to reserving one or more of the 10 seats is to fill out this form.
We can have a conversation to answer any questions you may have
Enroll your music therapist(s) by paying the enrollment fee (will see the payment link following this form submission)
Participants can start the training
Reap the benefits!

First Name of Music Therapist

Last Name of Music Therapist

Email of Music Therapist *

Phone Number of Music Therapist *

What benefits do you see for your music therapist being part of this program?

What is your workplace's interest in DBT?

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive SMS notifications, alerts & occasional marketing communication from The Spiegel Academy. Message frequency varies. Message & data rates may apply. (You can opt-out by replying STOP at any time.)