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Registration Form

Register for the Art and Science of Love

A weekend couples workshop in Flagstaff, AZ with Steven Patrick, Ph.D.

How to register:

Submit the registration form below to register. You will receive a confirmation call shortly, followed-by a letter/receipt by email. If you don't receive your confirmation at least one week prior to the workshop, please phone us for confirmation. Following registration, Steven Patrick will conduct a brief telephone interview with each member of the couple to help insure that the workshop is appropriate for you.

Registration Fee: $550 per couple

Please note, once you submit this registration form, there is a final step to complete. There will be a brief telephone interview with both of you to insure that the workshop is a good match for your relationship. At that time, payment can be made and that will complete the registration process.

Cancellation Policy:

If you must cancel prior to three weeks before the workshop date, a full refund minus a $50 processing fee will be given. For cancellations thereafter, you will receive credit good for one full year that you can use to attend a later workshop.

ADA Accommodations:

Please inquire regarding any special needs.

Registration Form

You and your partner's names *
You and your partner's names
Phone *
Street Address
City, State, Zip/Postal Code
Workshop date you're registering for *