Family Constellation Registration

To Register for the Family Constellation workshop simply fill out the form below, and decide how you would like to pay.

In Family Constellation workshops there are two levels of participation. You can participate as a "Representative" which will allow you the experience of stepping into the peoples lineages. You will be able to experience the energies present and enact the healing movements of the "Field." You will also gain great insight to your own patterns and what limits you energetically, plus the healing movements necessary to correct them. As a representative you will be able to participate at the level you want, even allowing you to be a spectator if you would like. It is $35 to register as a Representative

As a Focus Client you will have the experience of setting up your own lineage or issue. You will see the representatives acting out the healing movements necessary for you to move towards wholeness and achieve what you want. Being a Focus Client is powerful in its healing possibilities. It is $100 to register as a Focus Client. We are limited to six Focus Clients each workshop.

ways to pay

You can send a check to:
Jack Blackwell
2373 Vineyard Place
Boulder, Co 80304
(720)458-5363

Ways to Register

You can contact me
Or
Or you can print this form and mail it in
Or
You can fill out the electronic registration form below

Family Constellation Workshop Registration

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

Last Name*
Last Name*

E-mail Address*
E-mail Address*

Street Address*
Street Address*

City*
City*

State/Prov*
State/Prov*

Zip/Postal Code*
Zip/Postal Code*

Home Phone*
Home Phone*

Date of Workshop you are registering for*
Date of Workshop you are registering for*

Paying with a check or Paypal?*
Paying with a check or Paypal?*

Would you like to register as a Focus Client or Representative?*
Would you like to register as a Focus Client or Representative?*

Have you experienced this work before?*
Have you experienced this work before?*

What would you like to get from this workshop?*
What would you like to get from this workshop?*

Any fears related to this workshop?*
Any fears related to this workshop?*

How did you hear about us?

Copyright ~ Artistry In Healing ~ 2010

SBI!