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Home | Family Constellations Explained | Workshops | How Can We Help You? | Services | Work & Business
Family Constellations Workshops
Member of ISCA DGfS Germany
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Registration Form
Systemic Family and Business Constellations
Please return the form to me by email or post it to
Family Constellations P.O. Box 767 Hamilton Qld
Dates of the seminar/workshop/group
Brisbane ____/____/_____
Sydney ____/____/_____
Name____________________________________
Address__________________________________
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Telephone___________________Mobile______________________
Email Address__________________________
Would you like to do your own constellation or come as a participant only. Please tick. If joining the 6 week group you will be doing a constellation.
Constellation_______ Participant________________
Are you on any medication? _________ If so please give brief details.
Are you over 18 years old?________
Were did you here of us?
Friend/family___ advertising ___ internet __ other___
How is your health? __________________________________________
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Would you like to receive a monthly newsletter? Yes_______No______
What other therapies, programs or other practitioners are you seeing at the moment?_____________________________________________
I consent to checking with you if I want to consult any other practitioners while I am working with you, to make sure it is compatible with what we are doing here.
I consent to attending the full duration of the workshop.
Sign here ___________________________
Payment. Please state your payment amount._______
You may make a full payment by credit card by phone to us 1800 209 388 or direct deposit on:
Bank: Bankwest
Family Constellations Pty Ltd BSB: 304 029 account number: 005 9322
Please let us know when you make a deposit by phone or email. support@familyconstellations.com.au 07 3268 6016
Alternatively you may make a $100 deposit to secure your place and final payment 2 weeks prior to the event by credit card or direct deposit, however this option is not available on the early bird price.
No refund is possible if you cancel in this method of payment.
In Sydney the venue is normally Castlreagh Inn Masonic club 169 Castlreagh St 2000 CBD unless otherwise stated. 9-5pm
In Brisbane the venue is 12 Whyenbah, St Hamilton, Qld 4007. 9-5 pm.
Please understand that the workshop may involve intense emotional experiences and you need to be aware of accepting full responsibility for your participation and any consequences it may have on you.
However we make every effort to make sure that you are safe and secure at all times.
There is no refund if a cancellation takes place within 10 days of the workshop - but you may get a credit to attend another workshop at an extra cost of $50 (to cover administration).
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Testimonial
I’ve had some great results from having my own constellation.
Lifelong issues are no longer affecting me, and I’m attracting good things into my life now instead of more problems and difficulties. It’s been amazing, with virtually instant results after only 1 session. Leaves long drawn-out therapy for dead. I am very grateful to Yildiz. She is an intuitive, gentle, genuine and caring person. Many, many thanks.
Margo Courtney, Sydney
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All that matters is :
How well did you live.... How well did you love.... How well did you learn
to let go?
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