You are taking the first steps to a new experience. Thank you for taking the time and having the courage to reach out and explore something that may be new or different. The form below is for people who are interested in TCTSY classes.

If you are looking to attend a public class please fill the registration form out here.

Name

First Name

Last Name

Email Address

Date of Birth

Address

Phone number

Emergency Contact Name and Phone Number

Currently in Therapy or Counseling

Yes

Providers Name, Address, Phone Number

We will NEVER contact your provider with out your written consent.

Is there anything else you would like us to know?