Registration

Feb. 11 th
Saturday 10am - 4pm

The School of Laughter
350 S. Northwest Hwy
1st floor Laughter Room
Park Ridge, IL 60068

Course Fee
$149
Per Couple

Fill out the Registration form and then the Payment form in two easy steps

Your Name:
Name of Your Partner in this Workshop
How is your partner for this workshop related to you?
If other please describe:
Your Address
Your City
Your State
Your Zipcode
Your Email Address:
Your Phone (best one to reach you at in case of emergencies)

YOUR PARTNER'S INFORMATION 
If Partner's information is Identical please enter SAME where applicable
as all lines must be filled out.

Partner's Address (If different from above)
Partner's City (If different from above)
Partner's State
Partner's ZipCode
Partner's Phone (Best to reach in case of emergency)
Partner's Email (If different from above)
On a scale of 1 - 10 with a one being least and 10 being best, Rate your Relationship with your partner
If there was one thing that you could enhance in your relationship, what would it be?
What are you hoping to take away from this experience?
What areas of our workshop most interest you? Check all that apply

Laughing More with Partner
Finding more Intimacy
Meditation/Relaxation techniques
Releasing Tension and Stress
Communicating with Partner
Want to Feel Happier Personally
Other

If you marked other, please describe:
Questions or concerns you may have now?

Thanks for taking the time to fill out our Pre Workshop questions. The information will assist in making the Workshop a better experience for you!


You will be directed to confirm your Information and then to the Payments Page

Prefer Postal Mail?
Make Checks Payable to:

You Can Say Yes Motivational Guidance Services
350 S. Northwest Hwy. Suite 300
Park Ridge, IL 60068

Questions?
Contact
Lynda Tourloukis
Lynda@YouCanSayYes.com
(847) 401-5787

www.youcansayyes.com
www.followthelaughter.com
www.laughingchicago.com

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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