HAI Workshop Registration Form

Fill out the form on this page to register for a HAI Love, Intimacy and Sexuality Workshop. After submitting this form, you will hear back from us shortly.

If you cannot fill in this online form, you can download it, and then email or mail it to us.

Registration for a HAI Love, Intimacy and Sexuality Workshop
Workshop
Your Details
Your Address
Your phone number(s)
Your Payment
 
 First TimeRepeat Participants
Creating Daring Connections  
Early Bird$145 
Full Price$175 
Level 1  
Early Bird$625$470
Full Price$670$520
Level 2 and above  
Early Bird$680$470
Full Price$725$520
I’m willing to pay the above amount additionally, to contribute to somebody else’s workshop cost who would otherwise not be able to attend.
After submitting this form you will be redirected to our payments page, where you can find details of how to pay via EFT, Credit Card, Cheque or Money Order, or via our Online Payments System.
About You
Previous Participation
Your Comment(s)

SPACE reserves the right to cancel any workshop if insufficient numbers of enrolments are received. In such a case, SPACE will refund 100% of the workshop fee. Customer cancellations within 14 days of the workshop date qualify for a 90% refund, cancellations within 72 hours before the workshop start qualify for a 80% refund. Customer cancellations prior to 14 days will qualify for a full refund.