Dancing with Dragons Fall Workshop Registration Form
FACILITATED BY: Christine Armstrong, LMFT & Louis Dangles, LMFT
DATE: October 5th, 2019
TIME: 9:15 am - 4:45 pm
LOCATION: Heart Source Center at 1600 Shattuck Avenue, Suite 125, Berkeley, CA 94702

15 spaces still available as of Aug 8th.

COST: $160.00 Early-bird/$175.00 after Aug 30th
Student and/or Elder: $140.00 Early-bird/$155.00 after August 30th

>Please note the Registration cost will be invoiced to the email you provide here. Our intention is to send the invoices the next business day. The invoices will be sent in the order participants register online.

>Michelle the EHI Admin Assistant, will send you an invoice through QUICKBOOKS and you will have secure online payment options.

>Spaces are limited so the invoices will be open for a couple of days, if there is any issue please contact Michelle for assistance.

>Payment of your Registration Fee will secure your place at the workshop, please keep your receipt of invoice paid.
Thank you!

Ticket Refund Policy: Full refund minus a $15 admin fee if withdrawal by September 4th; a 50% refund if withdrawn by September 20th. No refund available after September 20th, 2019.

Questions? Contact Michelle, EHI Admin Assistant, at conf@ehinstitute.org

Email address *
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First Name *
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Last Name *
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Credentials (optional)
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License Type *
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License # *
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Street Address
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Zip Code
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Phone Number *
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Note to Admin:
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What does 7 + 2 = ? *
this question is to ensure this registration is used by humans!
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Workshop Continuing Education Info
The fees above do not include cost for CEs. We have applied for CE sponsorship. Please click below if you would like more information regarding CEs. If so, we will send you a follow-up email about CEs closer to the date of the workshop.
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