Register for Weekend Workshop

Registration: All responses are confidential

First Name

Last Name

Phone

Address

Apt, suite, etc.

City

State

ZIP code

Date(s) for which you are registering

Current therapist, if any:

Number of people planning to attend:

Workshop Contract

Please download the PDF of Workshop Contract, email the completed form, and pay $300 for a Weekend Workshop. How to pay.

How did you hear about us?

When you have registered we will send you detailed location or Zoom information.

If you have any questions filling out this request, please call Elaine Baskin at 650.494.0255.

We will be in touch soon!

We never distribute our mailing list to anyone.

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