OCTOBER EVENT:

Fill Out The Form Below To Register

First Name*:
Last Name*:
Phone Number*:
Email*:
Occupation*:
Place of Business*:

Message (Optional):


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REFUND POLICY: 

100%  Refund: until 10/6   –   50% Refund: between 10/7 – 10/14   –   No Refunds after 10/14

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MULTIPLE PARTICIPANTS: 

Important note if you have paid for more then 1 participant:  we need to have each participant to fill out this form to be officially registered. There 2 options to do this:

Send this link to all participants that you have paid for:

www.pastoralcounseling.com/emerging-from-the-heart-of-darkness-special-event-registration2/

OR

click on this link to register other participants yourself:

REGISTER ANOTHER PARTICIPANT

Have a Question? Contact Us