Use this form to enroll in the "Communication Skills for Healthy Relationships"
Full Name:
E-mail Address:
Seminar Date I Will Be Attending:
Method of Payment: Please invoice me by e-mail, and I will use my credit card on PayPal (no PayPal account required).
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.
People Get Unintentionally Locked into
Harmful Communication Patterns
Develop healthy boundaries & communication skills to
enrich, enliven and strengthen love
“ Your work is the most transformative thing I have ever done.” Barb, 52
Call 760-798-9076
for a free 15 minute consultation.