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Request a Booking

Please fill out the form below so that I can better understand your needs and goals.

First Name

Last Name

Email

Phone

Location

Type of session

In person

Virtual

Age Group

Children

Adolescent

Adult

Senior

Preferred Topics for Art Therapy Workshop:

Self-exploration

Stress relief

Emotional healing (e.g., grief, trauma)

Goal visualization

Mindfulness and presence

Removing judgment

Elimination of limitations

Smoking cessation

Healthy eating

Other

If other, please fill out.

Previous Experience with Art Therapy:

No prior experience

Some experience

Experienced

What do you hope to achieve by the end of the session?

Needs or Accommodations

Permission to use artwork for educational or promotional purposes:

Yes, I agree.

No, I do not agree.

Comments

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