Gottman Seminar Registration

Your Information

Name*

First NameLast Name

Date of Birth*

Date

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Your Partner's Information

Name*

First NameLast Name

Date of Birth*

Date

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Address*

Same as Partner 1Different address from Partner 1

Address*

Street Address

Street Address Line 2

CityState

Zip Code

How long have you two been together?*

Describe your relationship*

In a few words, please describe what you would like to gain out of your participation in this workshop? *

Have you and your partner participated in couples therapy in the past? If yes, please provide information about timeline and duration? *

How did you hear about this workshop?*

Other: Another website? A person?*

What's the name and contact information of the provider who informed you?*

Who should not attend?
Psycho-educational classes are not appropriate for all couples, including those with severe relationship distress, significant emotional abuse, serious emotional or mental health problems, relationships where one or both partners are actively addicted to drugs or alcohol and relationships with serious compulsive behaviors with gambling, sexual acting out, and other disruptive behaviors.

I hereby confirm my partner are able to attend because we meet the criteria outlined above.*

Yes

Gottman Seminar Registration*

Saturday, December 6th, 2025 Product Image

Saturday, December 6th, 20258:00am to 3:00pm

$249.00

Total

$0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Date of Seminar*

Date

Terms and Conditions for The Gottman Seven Principles Couples Seminar

Please read these Terms and Conditions carefully before registering for or participating in the Gottman Seven Principles Program Seminar offered by Minds in Action Counseling. By registering and submitting payment, you agree to the following terms:

Seminar Overview
This is a psychoeducational seminar based on Dr. John Gottman’s The Seven Principles for Making Marriage Work. It is not therapy or a substitute for professional mental health care or medical treatment. The seminar consists of lectures, demonstrations, videos, and private couples' exercises.

Eligibility and Intended Audience
This Seminar is appropriate for:

Pre-marital or engaged couples
Couples living together
Married couples, regardless of the length of the relationship

Not intended for:

Couples facing severe relationship distress, dysfunction, or trauma
Relationships with serious compulsive behaviors, including gambling, sexual acting out, and other disruptive behaviors
Individuals currently experiencing active domestic violence, physical, or emotional abuse
Couples in crisis, including those where there are concerns of safety
Individuals with untreated major mental illness or active substance abuse
Anyone with an open CPS case
If either party has retained legal counsel for divorce
If you are uncertain whether this seminar is appropriate for your situation, please contact us before registering.

Behavioral Expectations
To ensure a safe and respectful learning environment:

Attendees are expected to participate respectfully with their partner and the facilitator
Disruptive, disrespectful, or inappropriate behavior (including offensive language or conduct) may result in removal from the seminar without refund
Attendees are not required to share personal issues with the group or turn on their camera. Participation is confidential and private within the couple
Refund and Return Policy

Full refund for cancellations made 7 days or more before the seminar date
50% refund for cancellations made within 3–6 days of the seminar
No refund for cancellations made within 48 hours of the event or for no-shows

If the seminar is canceled by the facilitator, you will receive a full refund or may choose to reschedule at no additional cost.

To request a cancellation or refund, please contact us at least 7 days before the seminar via email or phone.

Technology Requirements
This is a virtual, live event delivered via Zoom. Attendees are responsible for:

Access to a stable internet connection
A device capable of running Zoom (desktop, laptop)
A private, quiet space to engage in the seminar activities

If technical difficulties on your end prevent participation, we are not liable for missed content or refund eligibility.

Confidentiality
This is an educational seminar, not therapy. While your privacy is respected, this is not a confidential clinical service.

Couples will not be asked to share private relationship issues in front of others

Communication with the seminar facilitator outside the seminar is not a substitute for counseling

Disclaimer
The seminar is designed for educational purposes only. No diagnosis, treatment, or therapeutic relationship is established by attending this event. If you require therapeutic services, referrals can be provided.

Use of Materials
All handouts, exercises, videos, and related content are the intellectual property of The Gottman Institute or the facilitator and are provided for personal use only. Reproduction or redistribution without permission is strictly prohibited.

Assumption of Risk and Waiver
By attending, you agree to assume all risks related to participation in this virtual seminar. You release the presenter, practice, and associated parties from liability related to injury, distress, or dissatisfaction resulting from your participation.

Contact Information
If you have any questions about the seminar, your registration, or these terms, please contact us:
Email: info@mindsinactioncounseling.com
Office Hours: By appointment only

By submitting your registration and payment, you acknowledge that you have read, understood, and agree to these Terms and Conditions.

Registration Form

Your Information

Your Partner's Information