Smith Therapy & Consulting
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Power Couples:
Pre-Valentine's Day Workshop
Welcome! Thank you for your decision to celebrate your relationship with us. Please complete all information in this registration form as it will help us to prepare for your participation.
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Name
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First
Last
Phone Number
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Email
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Dates: Please select the dates you will be attending
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January 28, 2017
February 11, 2017
Your Saturday Schedule will look like this:
8:30 - 8:55am
Introduction to Speakers and Special Gifts Registration
9:00am -10:00am Class 1: Money, Family, & Business (Setting Reasonable Expectations)
9:00am - 10:00am Class 2: Finding Fun in Your Relationship
10:00am - 11:00am Class 3: Developing Your "Couple" Image
10:00am- 11:00am Class 4: Hardcore Intimacy
11:00am-12:00pm [Building Love that Lasts - Break out Discussions] Personal Couples Encounter begins
12:00pm - 1:00pm Lunch, Couples Encounter continues.
1:00pm - 1:30pm Special Gifts & Give away
*Please answer the questions below. This will help us to ensure your workshop needs have been met.
Will you be eating lunch?
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Yes, Please include lunch
No, I do not want the lunch option
Couple Encounter: Do you desire an encounter time with one of the team?
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Yes, I desire the couples encounter experience.
No, I do not desire couples encounter experience.
Submit Registration Form
Welcome
About
For Referrals
Explaining Virtual Counseling