Compassionate Communication for Professionals
Fill out the form carefully for registration
Student Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please share your professional support and care role
Please share any previous experience with learning Nonviolent Communication
E-mail
*
example@example.com
Mobile Number
Phone Number
Work Number
Plant based and gluten free morning and afternoon tea and snacks are provided. Please let me know any allergies
Your registration is not complete and your place will not be secure in workshop until payment has been received. Please type "I acknowledge" in the box below so I know you have received this information. Payment details are on my website under the title of this workshop
Is there anything other information you would like me to know?
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