Loving Every Body: Moving from Body Shame to Authentic Connection through the Archetypes with Allison Marek - Online Workshop Registration
Woman Within International proudly presents this workshop.

Please fill in this form in order to register for this online workshop and press the submit button at the bottom when complete
Email address *
Woman Within International welcomes all women to its Programs and prohibits discrimination based on race, colour, gender, gender identity and/or gender expression, national origin, age, religion, socioeconomic status, disability, veteran’s status, sexual orientation or other status protected by applicable law.
First Name *
Last Name *
Phone *
Street Address *
No P.O. boxes please.
City *
State / Province *
Country *
Workshop Information
This Workshop will be held via zoom, on the 14th of November 2020 from 10am - 12 Midday CST.
This is a 2 hour interactive workshop.
There is only space for 30 participants.
This workshop is for women only over 18 years of age.
Investment
The investment for this workshop is $100.
Payments *
Payments can be made via direct deposit or via papal , you will receive all the details of this once you submit this form. Your payment will secure your place.
Payment Details
You will be able to pay via PayPal and or Bank Transfer - these payment details will be included in the email you will receive after completing and submitting this form

Please use your full name and the word "LovingEveryBody" as the payment reference.

Signature
Signing this form, indicates full understanding and acceptance of the information, terms and conditions outlined on this form.

Please fill in your full name and today's date below:
Your Name *
By printing my full name below, I agree that all information provided in this form is true and correct. Writing your name constitutes an electronic signature which is legally binding and has the same legal status as handwritten signatures throughout the United States, under the ESIGN Act and the Uniform Electronic Transactions Act (UETA).
Today's date *
MM
/
DD
/
YYYY
Thank you!
We are thrilled to have you join this incredible webinar, once we have received your payment, you will receive all the Information needed to attend.
Submit
Never submit passwords through Google Forms.
This form was created inside of Woman Within International. Report Abuse