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Keeping the Joy in Relationships Registration

If you are registering as a couple, please have each person complete the form below.

* Indicates required field

Choose One *

Individual Couple

Name *

First

Last

Email *

Name of partner (optional) *

First

Last

Email *

Please share a challenge about your current or past relationship (this can be a love, work, friend or family relationship). *

Please share a few of the qualities you want to have in your relationship. *

What are you hoping to learn from your experience at this workshop? *

You will receive an invoice by email once I receive your registration and you will receive the Zoom Link closer to the date of the class. Thank you for registering ~ we look forward to our time together!

Refund Policy: A full refund (minus a $35 processing fee) will be given when the request for a refund is made up to 30 days prior to the first day of a workshop/parenting class. Refunds are not available for cancellations less than 30 days before a workshop/parenting class. A class may be cancelled or postponed due to low enrollment, illness, location or other circumstance. Full refunds will be provided to all participants accordingly.
By completing your registration, you also indicate that you agree to the the refund & privacy policies. Please contact Melody Hazelton at Melody@empoweredlifecounselling.com with any questions.

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