Somatic Bodywork Seminar Level One
Registration & Payment
September 22 - 26, 2021 
Petaluma, CA

$1,950 $1850
Participant Information
Please submit this form for each participant so we may collect all information for each participant. For questions about large quantity orders, please reach out to support@strozziinstitute.com.
settings
settings
settings
settings
settings
settings
settings
settings
settings
Demographic Information
These demographic questions are optional. By gathering this data we are able to better understand who is participating in our courses.
With which race/ethnicity do you identify? (Optional)
Select all that apply
settings
settings
settings
settings
settings
settings
settings
settings
settings
What gender pronouns do you use? (Optional)
Select all that apply
settings
settings
settings
settings
With which of these class identities do you currently identify? (Optional)
Select all that apply
settings
settings
settings
settings
settings
settings
settings
Billing Information
settings
settings
settings
settings
settings
settings
Credit Card Information
settings
settings
settings
settings
settings
Payment Options
Chose your payment option below. If you chose monthly payments, please note that your card will be automatically charged on this day of each month and that it is your responsibility to mark your calendar to be prepared for all charges.
Loading...
settings
settings
SSL
This payment form is secured using a GlobalSign SSL Certificate which means your information is safe. Click the GlobalSign seal above for verification.
Form Not Submitting?
If your form is not submitting, it's most likely due to an error in one of the fields. Please scroll up and look for the red exclamation mark to find where you need to correct the entry. If you're still having trouble submitting the form please email support@strozziinstitute.com.
[bot_catcher]