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Registration Form

Register for the Art and Science of Love

A weekend couples workshop in Flagstaff, AZ with Drs Susan and 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.

Registration Fee: FLAGSTAFF: $590 per couple. TEMPE: $640.00 per couple (includes hot breakfast)

Please note, once you submit this registration form, there is a final step to complete. Following registration, Susan or Steven Patrick will conduct a brief telephone interview with each member of the couple to help insure that the workshop is appropriate for you.

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 there after, 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 *
Partner's Phone
Partner's Phone
Street Address
City, State, Zip/Postal Code
Workshop date you're registering for *