Registration Form

Fields marked with a * are required

Your name *
Your partner's name *
Address *:
City *:
State *
Zipcode *
Phone Number - daytime*
Phone Number - evening
Phone Number - cell
Your email *
Your partner's email
How did you hear about the workshop? From my therapist:
(We would like to thank your therapist if you leave the
email address in the comment box below.)

Website advertising
Google, www.couplesworkshopsandiego.com
Google, www.imagorelationships.org
Facebook
Brochure
Other (please specify):
Workshop dates *
Any other comments
Prove you're human
 

Please make sure to pay through pay pal immediately after you submit the registration. Registration is only confirmed with payment.

Happenings

Upcoming weekend workshops:

  • January 27-28, 2018
  • March 10-11, 2018
  • April 28-29, 2018
  • June 23-24, 2018
  • August 11-12, 2018
  • September 22-23, 2018
  • November 10-11, 2018

Register now!

Spaces still available in all upcoming workshops!

IMAGO WORKSHOP events
Click here for downloadable flier

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