Workshop information and registration form

Use this form to request further information about a workshop, or to register for a workshop.

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Name *

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Company / Affiliation / Title(s) if applicable *

Location

Email *

Please choose one of the following options *

• I have a question about a workshop
• I want to to sign up and receive a payment link

Which workshop are you interested in? *

• Otto Rank’s Dynamic Psychotherapy and a Therapeutic Third
• Creative Participation: An Introduction to Quantum Metapsychology
• Otto Rank and The Art of Creative Living
• The Third Reality
• None of the above

Have you attended any other workshops with us before? *

• Yes
• No

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• I would like to receive email updates regarding future events

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