OCTOBER EVENT:

Fill Out The Form Below To Register

    First Name*:

    Last Name*:

    Phone Number*:

    Email*:

    Occupation*:

    Place of Business*:

    Message (Optional):

     ———-

    REFUND POLICY: 

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

    ———-

    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