DW_FlyerHeaderREGISTRATION
Thursdays: October 9 – December 4
6:30 PM-8:30 PM

Compatible Counseling Solutions
3047 N. Lincoln Avenue, Suite 400
Chicago, IL 60657

Thank you for completing the registration form below for the Daring Way™ 8-week group. Your deposit of $325 holds your space in the group. The remaining $325 will be due at the first group session. Once we have received your registration and deposit Sally will contact you to complete a brief screening questionnaire.

Payment: The cost of the group is $650. A deposit of $325 is required in order to hold your space for the group. The remaining balance of $325 will be due on the first day of the group.

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CREDIT CARD PAYMENT
By checking this box you are authorizing Sally Frau to process your credit card for payment of deposit and/or services.
I understand that Registrants who are “no-shows” for an event or cancel with less than 5 business days notice will not qualify for a refund.