Psychodrama Sundays — Book Your Place
Register your details, select your workshop(s), and complete payment in AUD to secure your place.
Contact details
Full name
*
First Name
Last Name
Email
*
example@example.com
Mobile phone
*
Please enter a valid phone number.
Format: 0000-000000.
Choose your workshop(s)
Workshop selection and payment
*
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Sun 18 October — The Roles We Play
Psychodrama Sunday workshop
$100.00 AUD
$
100.00
AUD
Sun 22 November — The People Who Shaped Us
Psychodrama Sunday workshop
$100.00 AUD
$
100.00
AUD
Sun 13 December — Endings, Gifts & New Beginnings
Psychodrama Sunday workshop
$100.00 AUD
$
100.00
AUD
All three workshops (series)
Series ticket for all three workshops
$270.00 AUD
$
270.00
AUD
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Attendance history
Have you attended the Monday Psychodrama Club or had a session with Patrick at The Coolum Institute?
*
Yes
No
What draws you to psychodrama?
Are you currently seeing a counsellor, psychologist or GP for your mental health?
Yes
No
Prefer not to say
Is there anything you'd like Patrick to know so he can support you on the day?
Patrick may give you a quick call before the workshop to say hello and answer any questions.
Emergency contact
Emergency contact name
*
First Name
Last Name
Emergency contact phone number
*
Please enter a valid phone number.
Format: 0000-000000.
Agreements
I understand I choose how much I take part, and I can pass at any time.
*
Yes
I agree to keep what others share in the group confidential.
*
Yes
I understand this is a therapeutic group experience, not a crisis service or a replacement for individual treatment.
*
Yes
I understand each workshop needs a minimum of 6 participants. If it doesn't go ahead I'll receive a full refund or transfer. If I cancel, I receive a full refund up to 7 days before, or a transfer to another date after that.
*
Yes
Book my place
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