Seva Stress Release Registration Form

Seva Stress Release Registration

Complete form below to signup for the workshop.
Date of Class: Sunday, Sept 18, 2022

Location: 110 N. Main St., Poynette, WI (True Self Office)
- Part One - For Self-Care: 9 am - 12:30 pm
- Part Two - For Sharing with Others: 1:30 pm - 4:30 pm
Please indicate below if you are planning on attending Part One Only or if you will attend both Part 1 and Part 2.

Payment is processed separately by the link on the website.
Name*

First NameLast Name
E-mail*
example@example.com
Company
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone*
Which class will you attend?*
prevnext( X )
Part One Only - For Self-Care: This class is great for anyone ready to let go of the built-up stress and tension held within their body. This gentle process addresses symptoms of stress, shock, and trauma.
$60.00

Part One & Two - Self-Care AND For Sharing with Others This class is great for health care workers, caregivers, childcare providers, yoga teachers, hospice volunteers. and school nurses. ** Price includes the Part One class as it is required to take part two.**
$120.00

Total

$0.00
Are you a Nurse or Massage Therapist that will want to receive the contact hours?*

YesNoDoes Not Apply
How did you hear about the workshop?*

Web SiteFriend/ColleagueOnline Search
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