The Satir Institute of the Rockies

Satir’s Transformational Systemic Therapy Training Program
Level I

Registration Form  for Boulder Trainings
(print and mail)

Name___________________________

Address_________________________

City_______________________ State___ Zip__________

Tel.(Home)___________________________

Tel. (Bus.)____________________________

Email address_____________________________________

Occupation___________________________

Graduate Training_________________________________

Level 1 (Ten days) Total cost $900 for therapists, $625 for graduate students in internship

To register, send deposit of $250 by ____________.

10% discount when paid in full by __________<

Refunds, minus $25 administration cost, until _______

Amount Enclosed_____________________________________

Mail registration to: Sandy Novak, 1480 Lee Hill Rd. #7, Boulder, CO. 80304

Questions? Call Sandy Novak at 303-629-2960 or 303-931-4004 or email snovak19@hotmail.com.