DBT PATH New Student Enrollment Form

Please take the time to carefully read each item on this form before submitting.
By providing my email address and signing up for this course, I consent to receive class-related emails, which may sometimes contain marketing content, and I understand that I can update my preferences anytime by using the link at the bottom of the emails I receive or through my student portal after logging in. *

Is the student at least 18 years of age? (If not, you will be asked to enter the student's age.) *
I confirm that I am a parent or guardian granting permission to a minor to attend this course and make this payment. *
Have you studied with us before and already have a username for our student portal? *
NOTE: After filling out this form, DO NOT CREATE A NEW USERNAME when you land on the page that asks you to create one. Your existing username will be reactivated when we process your enrollment.
Are you a therapist or other mental health or medical provider who may have clients currently attending our course? *
I understand, to avoid an ethical dilemma, as a therapist or other mental health or medical provider who may have clients in the course at the same time as me, I *cannot* use an alias and must attend under my true name. (If you are a therapist or mental or medical provider who is certain you do not have clients enrolled, you may use an alias to protect your privacy as you learn the skills and work through the course.) *