DBT PATH New Student Enrollment Form

9-Month Advanced Tuition Payment

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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. *

I confirm that I am 18 years of age or older or 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.


Tuition Authorization and Refund Policy

Tuition Payment Options

Select your tuition payment option: *
I understand that the tuition payment that I am about to make secures me a spot in this in-demand course, and it is NON-REFUNDABLE, even if I change my mind and drop the course before it starts. The payment will be processed upon submitting this form. *
I understand that I am making a one-time tuition payment for 9-months. If I wish to repeat the course, I can continue on a month-to-month tuition payment plan after 9 months.
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I understand that there are no refunds on any tuition paid.
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Terms of Service and Privacy Policy

I have read, understand, and agree to the Terms of Service and Privacy Policy. *


About the Course

I understand that DBT Path does not offer therapy, counseling, or crisis intervention and that I must seek these resources locally, as needed. *
I understand that this class is a psychoeducational, peer-led, holistic, DBT-informed course, is not a replacement for professional psychiatric treatment or services, and that any course I take at DBT Path is not intended to diagnose, treat, or cure any illness or condition. *


I understand that I need to separately purchase the required texts for this course, the titles of which can be found on both the Classes and FAQ page of this site:

  • DBT Skills Training Handouts and Worksheets by Dr. Marsha Linehan
  • The Dialectical Behavior Therapy Skills Workbook by Matthew McKay

(Electronic or Hardcopies are both fine. These books will be used for homework assignments between classes. There is no book homework assigned in the first week of class to allow time for you to receive your books. You'll receive an email with a reminder to purchase these books titles shortly after enrollment.)

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Student's Signature

Student's Signature

If you're using a phone, tablet, or another touch-screen device, you can use your finger or stylus to electronically sign. If you're using a computer without a touch screen monitor, use your mouse or stylus.)

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Credit Card Holder's Signature

Credit Card Holder's Signature *
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