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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

Ideal Workshop Date #1

Ideal Workshop Date #2

Workshop Location

Number of Participants

What type of event are you interested in?

Team Wellness Workshops

Private Mindfulness Gatherings

Other

If other, please fill out your interest

Age Group

Children

Adolescents

Adults

Seniors

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 or your group hope to achieve by the end of this workshop?

Additional Needs and Accommodations

Consent for Participation

Yes, I agree.

No, I do not agree.

Permission to use artwork for educational or promotional purposes:

Yes, I agree.

No, I do not agree.

Comments

Thanks for submitting!

NORTH HOLLYWOOD | LOS ANGELES

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