Workshop Registration Workshop Name * Girl's Day Out Couple's Workshop Date of Event May 17 (SOLD OUT) June 21 July 12 August 9 September 20 October 18 Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country How did you hear about the event? Websearch Facebook Instagram Website Professional referral Family/Friend Poster/Flyer Other Agreement * I understand that I will be billed for $50, plus $25 for a friend if added, plus sales tax via square. I can also pay by check at the South Counseling office in Orem. I am aware that if I cancel, 50% is refundable 30 days before the event, 25% is refundable 15 days before the event, and anything after 15 days before the event is non-refundable. Agree Disagree Promotion Code Message Thank you!