Contact Us

Use the form on the right to contact us.

           

123 Street Avenue, City Town, 99999

(123) 555-6789

email@address.com

 

You can set your address, phone number, email and site description in the settings tab.
Link to read me page with more information.

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

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