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Registration Form
To register for the next Bring Yourself to Love weekend couples workshop, mail this registration and your check made payable to Mona Barbera, Ph.D., 341 Broadway, Providence, RI 02909.
Dates and Times:
November, 5-7, 2010
Friday night 6:45 pm -9pm, Saturday 9:30 am - 5:30 pm, Sunday 9:30 am - 1:00pm
Location: 51 Kondazian Street, Watertown, MA 02472
Fee per couple: $595 per couple postmarked by September 30, $665 after that
Couples follow-up groups available after the workshop. You can extend your learning with a trusted group that meets once every 2 months.
Please print this page and fill-in the form below:
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Name (1) _________________________________________________________
Name (2)__________________________________________________________
Address___________________________________________________________
Email_____________________________________________________________
Phone (H)___________________________(W)___________________________
(Cell)_____________________________________________________________
Date of registration_______________________
Special Needs:
Will you need lodging? You can find hotels in Watertown, Waltham, Cambridge, Brighton, Allston, or Newton.
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Note: Bring Yourself to Love weekend couples workshops may not suitable for couples in which one or both partners are currrently suicidal.
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