Call 760-798-9076
for a free 15 minute
consultation.
Use this form to enroll in the "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 & Love Counseling
Enhance Your "Love-ability,"
Prevent 'loosing yourself' in a relationship
“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.