Letting Go Workshop Registration August 23-25 2024

Letting Go Weekend Registration

AUGUST 23-25, 2024
Your Name*

First NameLast Name
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
I will be paying (choose one):*

OnlineCheckCash
Please indicate number of registrants below:
prevnext( X )
Letting Go Weekend - Individual Registration$600.00
Tuition Only

Number of Registrants

Room & Board (optional)$325.00
Cost is per person. Only 20 spaces available for overnight accommodations, first come first serve.

Quantity

Total $0.00
To pay by check:
Please make check payable to Tapestry of the Heart LLC for the amount based on your registration choices:

$600 Tuition per person
$325 Room & Board per person (optional)

And mail to:

Tapestry of the Heart, LLC
2695 South Le Jeune Rd, Coral Gables, FL 33134
To pay with cash:
Please email info@tapestryoftheheart.com to make arrangements.
Are you currently under the care of a mental health professional, i.e. Psychiatrist, Psychologist, Counselor, Therapist, etc.?*

YesNo
If yes, are you currently taking medication for your mental health condition, i.e. anti-depressants, anti-anxiety, etc. If yes, please contact Monica or Dania, to discuss the extent of your participation in the weekend.*

YesNo
By submitting this form, I agree that I am eager to begin this next step in my growth, and I am committing to myself and to others in the group to complete this weekend.
Enter the message as it's shown*
Should be Empty:

Letting Go Weekend Registration