WORKSHOPS & EVENTS

Name *

First Name

Last Name

Phone *

We will be reach out to you by phone to discuss your goals for the session and confirm your booking request, so please provide the best number to contact you on.

Country

(###)

###

####

Which workshop location would suit you best? *

Wellington

Christchurch

Nelson

Auckland

Other (please mention in message below)

What is your relationship status?

Single or dating

In a new relationship (1 year or less)

In a long-term relationship (1 year or more)

In a polyamorous or open relationship