Our Yes and No to the Pulsation of Life
Registration Form

Name

First Name

Last Name

Phone

Country

(###)

###

####

How did you hear about this course?

What, if any, experience do you have with the Pathwork and/or Core Energetics?

Other spiritual/personal growth work?

Are you currently working with a counselor or Pathwork Helper to support you?

What are you hoping to learn/experience in this course?

Do you require any special accommodations? Anything else you want us to know?

Please submit $120.00 payment to: Paypal: duncansoule.pathwork@gmail.com or Venmo: @Duncan-Soule. Let us know if you need other payment options.

I have submitted my payment

Please contact me about another payment option

Our Yes and No to the Pulsation of LifeRegistration Form