EXPLORING SELF enrollment

EXPLORING SELF

Enrollment Questionairre
Name*

First NameLast NamePronouns
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Your movement background, if any?
Your therapeutic background, if any?
Any injuries, disabilities, or information you'd like your instructors to be aware of?
What draws you to this program, or what goals do you have with this work?
Phone Call Check-in with Laurel*
This program cost is $300. A $100 nonrefundable deposit is due by Dec. 9th to reserve your spot. Deposit is to be paid after your phone consultation with Laurel, and not before. The entirety of fees are due by the first class. Payment plans are available upon request. This program has no makeups or pro-rates available, so please plan to attend all sessions with us.
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