Registration for March 2018 workshops with Sarah Peyton

E-mail address:
Workshop Choices:ACES
Sexuality in the Brain
Family Constellations
If registering for Sexuality in the Brain as a stand-alone,
please list month, year, and location of previous 3-day workshop with Sarah:
Your Name:
Street address:
Town, State & zip:
Phone:
Professional Position:
Employer or Organization:
Team members coming with you:
Primary interest for attending::
lunch preference:
NVC experience:
Paying by check or online:
If someone else is making the payment on your behalf,
please enter their name here:
Newsletter Subscription:

Registration will not be considered complete until payment is received. After clicking SUBMIT, you will be redirected to the payment page, where you may securely pay online, or choose to send a check through the mail.
Please Note: The deadline for registration AND PAYMENT is FEBRUARY 23, 2018. Payment MUST BE RECEIVED within 10 days of registration OR Feb. 23, whichever comes first, to hold your space. Also, there will be no refunds made after Feb. 23. If you find it necessary to cancel your registration BEFORE Feb. 23, your payment will be refunded minus a $20 handling fee. Thank you for your cooperation.