Emotional Regulation Workshop Registration
Sunday November 23, 2025 at 10am With Dr. Irina Gorelik
Reservation is only confirmed when payment via Zelle to team@laughnplay.com is received.
One adult + one child $25, additional siblings $15
Parent Name
First Name
Middle Name
Last Name
Additional Parent Name (if attending)
First Name
Middle Name
Last Name
Amount of children attending
Please Select
1
2
3
4
Parent E-mail Address
*
example@example.com
Age of Child/Children Attending
Please seperate with comma for multiple
Please add me to Dr. Gorelik’s mailing list for updates, happenings and future workshops.
Please Select
Yes
No
Please complete the Laugh ‘N Play waiver for your child in advance.
Found at our website www.laughnplay.com/waiver
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