Seasons of Us Event October 3rd

Seasons of Us Couples Workshop Registration & Payment Form

The Seasons of Us Couples Workshop will take place at the Laurel-Beltsville Senior Center, Saturday, October 3rd from 10:00 am - 12:00pm. Complete the form below for yourself and your spouse. Once the payment is complete, you will receive additional instructions.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
As a couple, how are you currently connecting?
As a couple, how are you currently navigating through change?
Payment for the Workshop
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Seasons of Us Event Ticket
This ticket provides entry for one person into the Seasons of Us Event facilitated by Dr. Pauline Belton, Your Therapy Doctor. It also includes one journal, a bonus item, and light refreshments.

$35.00 Quantity

Total

$0.00
Should be Empty:

Seasons of Us Couples Workshop Registration & Payment Form