Healing of Memories Workshop
May 2021
Sign in to Google to save your progress. Learn more
Email *
Name/First Name *
Phone Number(s) *
Town *
Why would you like to participate in the workshop? *
Your knowledge of English
Clear selection
Do you have access to a reasonably good internet connection and a private space where you will not be overheard?
Clear selection
Are you having any professional treatment, psychological or physical, that you would like us to know about? If so, we recommend you to get the go-ahead from the person who is providing the treatment before taking part in the workshop.
Cost *
Required
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of CSJR. Report Abuse