ASL Workshop - April 2018 - Hosted

Weekend Couples Workshop - February 16 & 17, 2019

Please fill out our registration form with your information below to register for the Art & SCIENCE of Love, Gottman Weekend Couples Workshop, held at the Nevada Relationship Center in Henderson, NV on February 16th & 17th, 2019.
Note: After completing form, you will then click button below to proceed to our Payment Options page where you will either pay by credit card or link to our Check Payment Form - please print, complete, and return with your check
First Name #1*
Last Name #1*
Name 1 Daytime Phone*
Name 1 Evening Phone
Name 1 Email*
First Name #2*
Last Name #2*
Name 2 Daytime Phone*
Name 2 Evening Phone
Name 2 Email*
Address Line 1*
Address Line 2
City*
State*
ZIP Code*
Fax
Credit Card (Use PayPal Payment Options Below)Check (Information Provided Once Form Is Submitted)
PayPal Payment
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Early Registration (Before January 19, 2019) - Per Couple $650.00

Super Early Registration (Before December 22nd, 2018) $600.00

Standard Registration (After January 19, 2019) Per Couple$700.00

If one or both partners are licensed therapists (License # Required) there is a $75 discount whenever you register$650.00

Total $0.00
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Weekend Couples Workshop - February 16 & 17, 2019