Partner #1 Name * First Name Last Name Partner # 1 Email * Partner # 2 Name * First Name Last Name Partner #2 Email * Best Phone Number to Reach You * (###) ### #### Mailing Address * Please select the program dates you are registering for. * Chicago: September 28, 2024 How did you hear about this program? * By registering for this workshop, we agree that we can attend the full program. We are aware that we will not be given a refund if we cannot attend any part of the program and we have not cancelled our registration by midnight on the registration deadline date. * By checking this box, you indicate that you agree with the above statement. Would you be interested in signing up for emails about other programs and events at Chicago Healing Connection? * Yes No Thank you! Registration FormPlease complete all the fields below. Upon submitting the form, you will be redirected to the payment page.