Hold Me Tight Relationship Workshop Booking Form
We want you to get the most our this course. This course is intended for couples in committed relationships. If your relationship is in crisis due to addiction, domestic violence, or you are undergoing psychological treatment or processing the impact of an affair or if you have any other concerns regarding suitability, please contact us prior to applying.

This is a couple course which includes doing exercises with your partner. It's important that you both plan and commit to attend all sessions. If due to unforeseen circumstances one of you is unable to attend during the course we will do our best to accomodate.

We will keep your information confidential .
Our Office Address and Contact is : Richard Cole - 41 Brunswick Place, Hove, BN3 1ND Tel: 07789 433 234
Email address *
Your Name *
Course Applying For *
Your Email *
Your Phone Number *
Your Address & Postcode *
Partners Name * *
Partner's Email *
How would you describe your relationship now? *
In Crisis
Harmonious
Will you be booking accomodation to come on the weekend? *
How did you find out about this course? Please name the venue where you saw the flyer, or the person who told you about it or the website /facebook page where you heard about us
Here is space If there is anything you think it would be useful for us to know
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