Getting The Love You Want Signup Form

Your Name (please make this the name of the person paying for the workshop below).*
First Last
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone
Email*
Enter Email Confirm Email
Attendance: Will you be attending this workshop as a couple or a therapist trainee?*
- Couple
- Therapist trainee
Trainees will be sent separate information regarding payment of £275. Please still click submit below.
Your partner's name*
First Last
Your partner's email
Enter Email Confirm Email
Your partner's phone number
Which workshop date do you want to sign up to?*
- GTLYW: 31st October & 7 November 2020
- GTLYW: 20 & 21 February 2021
- GTLYW: 5 & 6 June 2021
- GTLYW: 11 & 12 September 2021
How did you find out about this workshop?*
Conditions for registration*
Please tick the box below to indicate you fully agree to abide by these conditions.
- I understand that £150 of this payment is non-refundable if I cancel and the full price of the course will be non refundable if I cancel with less than 28 days notice of the course date.
Please sign us up for one couple's place on the 'Getting the Love You Want' workshop
Price: £ 550.00
Total
£ 0.00
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GDPR*
- I consent to my submitted data being collected and stored in accordance with GDPR regulations.