Use this form to enroll in the " Advanced Dating With Your Future In Mind" seminar.
Full Name:
E-mail Address:
Seminar Date I Will Be Attending:
Method of Payment:
Cancellation Policy: Before seventy-two (72) hours prior to the workshp tuition is refundable less a $25 processing fee.



Within seventy-two (72) hours, participants are automatically placed in the next class.
Next Steps:
- Upon submission of this form, directions to the seminar location and a PayPal invoice (if PayPal is your chosen method of payment) will be e-mailed to you.
- Upon receipt of your payment, a questionaire concerning your relationship history and goals for the seminar will be e-mailed to you.
- Attend and participate in the seminar.
- At the completion of the seminar we will set a time for your free one-to-one follow-up hour.
Dr. Denise's Seminars & Counseling Sessions
Will Assist You to Enhance Your "Love-ability," Know How To Date Effectively and Help You Decide What Actions Are Right For You!
“I'm just grateful...everything is so clear as far as the do's and don'ts of dating.” Maria, 39
Bring a friend and learn together.
Call 760-798-9076
for a FREE 20 minute consultation.