DIG into Your Sexuality Workshop Registration

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Sunday evenings or Monday afternoons starting January 30th or 31st (choose below), Laura Bogush, Facilitator

Email *

Please choose which workshop you'd like to attend: *

Sundays at 7:00 p.m. EST, January 30th through April 10th

Mondays at 1:00 p.m. EST, January 31st through April 11th

Other:

Required

First and Last Name *

What name would you like me to call you? *

Preferred email address: *

Preferred phone number for texts: *

What is your complete snail mail address (street address, city, state, zip code)? *

Workshop tuition is $200 (special introductory price). Your spot in the workshop is confirmed with full payment five days prior to the first session. After your registration, I'll email you with links for payment. Please indicate your payment preference below. *

via PayPal to laura@bogush.us

via Venmo to laura-bogush

via check mailed to Laura Bogush, 7712 Twilight Drive, Mentor on the Lake, OH 44060

Other:

What do you hope to gain from this course? *

Is there anything that you'd like me to know about you?

DIG into Your Sexuality Workshop is an educational course facilitated by Laura Bogush. Sex education is not medical treatment nor psychotherapy. Laura is not a medical professional nor a psychotherapist. If you have a medical concern, please consult your doctor. If you have emotional/psychological issues, please consult with a mental health professional or therapist. The services provided by Laura are educational not therapeutic. *

Yes, I understand the above statement.

No, I do not understand above statement.

I am an adult (18+), of sound mind, and participating in sessions by my own choice. *

Yes, I agree with the above statement.

No, I do not agree with the above statement.

Please list any questions that you have for me right now. I'll be in touch with answers soon.

A copy of your responses will be emailed to the address you provided.

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