Play-Pleasure Workshops Registration Form
All information will  be kept confidentially.
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Which Workshop(s) Are You Signing Up For? *
Please add up the payments you intend to make and write the amount here. Please add relevant details to make it clear. (Payment details shown after you submit the form). *
Hopes and Fears: What would you like to gain or work on? What concerns do you have?
Do you feel you have any health conditions, (phobias, emotional-traumas, triggers, allergies, disabilities or injuries) that may be helpful to tell us about? Please let me know any needs, or ways I might be able to make it easier for you.
If not, leave blank
The satisfaction in my work comes from helping people to achieve their main goal. This only works if you do - If you are willing to practice, which is why I ask people to, literally , sign up to the following:

Check all of these if you agree to: *
Emergency Contact (Just in Case - Name, number, relationship) Eg. Sally Morbey, 0745885588, Mum. *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy