2026 DBT Skills Summer Bootcamp Registration

DBT Bootcamp 2026
Participant Name

First NameLast Name
Participant Date of Birth

MonthDayYear
Date
Participant Home Address

Street Address

Apt, Unit, Etc

CityState / Province

Postal / Zip Code
Guardian's Name (if participant in under 18yo)

First NameLast Name
Guardian's Email
Primary Email
example@example.com
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current therapist, if applicable
N/A or Therapist Name
Participant School and Grade if Applicable
Has the participant completed a past DBT Skills class with PCH, with another program, or had any mindfulness training?
How did you hear about us?

Terms and Conditions
- I agree and understand that full registration and payment (including applicable outside therapist case management fee) is required to attend bootcamp.
- I agree and understand that if I miss any or drop out of bootcamp for any reason, I will not be reimbursed.
- I agree and understand that payment and registration confirmation emails will be sent to the primary email address submitted. Such emails may contain the health information that I submitted.

Distress Tolerance Bootcamp

Dates: July 13th through July 16th, 2026

Time: 9:30 am to 12:00 pm

$675.00 Select your group

Emotion Regulation Bootcamp

Dates: July 20th through July 23rd, 2026

Time: 9:30 am to 12:00 pm

$675.00

Interpersonal Effectiveness Bootcamp

Dates: July 27th through July 30th, 2026.

Time: 9:30 am to 12:00 pm

Adolescent Class is FULL.

$675.00

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Total

DBT Bootcamp 2026