Registration/payment

Register for the April 30th Workshop
(Each participant please register separately)

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Lunch *

Bring your own lunch ($45 total cost) Lunch provided for $11 extra ($56 total cost): New Seasons sandwich, Kettle chips, friut salad, cookie, and Blue Sky Soda.

Choose your provided lunch *

Roasted Turkey, Provolone, Pesto, Mayonnise Ranch Ham, Swiss, Grain Mustard Albacore Tuna Salad (Sandwich), Lettuce, Tomato, Cucumber Grilled Vegetables (Sandwich), Bean spread & Sundied Tomatoes

After registration: an email will be sent to you confirming; your registration, your menu choice, location and parking options, and other details.

Disclaimer: This workshop and the practice of Shared Witnessing do not in any way constitute psychotherapy or psychological/medical treatment. If you have concerns about the appropriateness of attending this workshop, please contact the workshop facilitators and/or your health care provider.

I understand and accept this disclaimer *

I accept

Submit

Register for the April 30th Workshop (Each participant please register separately)

Register for the April 30th Workshop
(Each participant please register separately)