Registration Form | Art Therapy Gestalt

First Name

Last Name

Email

Country from you will participate

Phone number including international code

I have Zoom and my name/ user name in Zoom is

I am member of the Gestalt Art Therapy Centre. Write your number please

I would like to pay the workshop participation by

*I read Cancellation policy information and I agree. Please Visit: www.arttherapygestalt.com/cancelation-policy

Yes

Participation Costs

Gestalt Art Therapy VIP Member $95

General Public $110

I read the Event Policy information

Yes I read the Policy information and I agree with the terms

What else are you interested in?

I am over 18 years old

Yes

No