Registration

Registration Form for Seminars and Retreats

Please note which seminar you would like to attend.
As space is limited, please register early.

Seminar Workshop Title:*
Dates:
Name:*
First Last
Email:*
Address:
City:
Prov./State:
Postal/Zip Code:
Country:
Phone:
Work Phone:
Fax:
Occupation:
Education / Play Therapy Experience:
Have you taken a seminar with me before? If so what seminar have you taken?
What are some of the issues and goals you would like to address in the seminar that you have registered for?
Comments:

Click the Submit button and don’t forget to mail in your registration fee.
Note: if you do not receive a reply in one day, please phone: (250) 248-1290.

PLEASE NOTE

Space in the seminar will not be confirmed until payment has been received for each individual seminar. Payment can be made by cheque or e-transfer to mariejosedhaese@gmail.com. Please make your cheque or money order payable to Marie-José Dhaese, and send it in by mail to:

Marie-José Dhaese
846 San Malo Crescent
Parksville, British Columbia,
V9P 1S5, CANADA

CANCELLATION POLICY

Cancellation must be received by telephone and in writing one month prior to the date of the seminar or the whole amount will be forfeited. Before that date, $100.00 will be held for administrative fees.

Registration

Registration Form for Seminars and Retreats

PLEASE NOTE

CANCELLATION POLICY

Questions about Holistic Expressive Therapy?