Workshop Registration Name * First Name Last Name Email * Phone * (###) ### #### Emergency Contact Information * Background Questions How did you hear about this healing workshop? * What motivated you to join this workshop? * Experience with Healing Are there particular healing practices you find most beneficial or enjoy? * Preferences What healing modalities are you interested in or would like to explore during the workshop? (E.g. Meditation, group therapy, art therapy, etc.) Additional Information Is there anything else you would like to share with us or communicate before the workshop begins? * Thank you! Hay will be with you shortly.
