WORKSHOP REGISTRATION

Workshop Series
Registration

Please complete the following form to register for whichever workshop(s) you want to attend.

Reach out to me with any questions at wellnessbeyondwords@gmail.com

or 248-397-4777. I do my best to reply within one business day.

To your wellness beyond words,

Jeremy Fulwiler

First Name

Last Name

Email Address

Phone

Emergency Contact Name and Number

How Did You Hear About The Workshop Series?

Which workshop(s) are you registering for?

March 28-29: Body Reading: What Does Your Body Say?

June 20-21: What’s Sex Got to Do with It? The Spiritual Significance of Sexuality

September 12-13: Everybody Hurts: Your Pain as a Pathway to a Meaningful Life

November 21-22: Your Ancestral Body: Freeing Up Tomorrow by Bringing Discovery & Healing to How the Past Is Alive within Us

In a couple sentences, please share about your interest in or intention with this/these workshop(s).

Thanks for submitting!