To register for classes, please print and fill out this form.
Send form and registration fee to:

Communication from the Heart
3940 Via Lucero, #10
Santa Barbara, CA 93110-1652

Name:	_______________________________________________
Address:	_______________________________________________
	_______________________________________________
	_______________________________________________
Day Telephone:	_______________________________________________
Evening Telephone:	_______________________________________________
E-mail Address:	_______________________________________________
Class Attending:	_______________________________________________
Fee Enclosed:	_______________________________________________
Your NVC Experience:	_______________________________________________
How did you find out about this class (friend, newspaper, internet):	_______________________________________________
Additional comments or needs:
MONEY: The fees that we request are just that, requests. If you would enjoy contributing a different amount either more or less, please let us know. If contributing less allows someone to attend who otherwise couldn't, that is what we want. If you would enjoy contributing more, that provides scholarship dollars for others. We want this training to be available to everyone who wants it. Ask about financial assistance: payment plans, scholarships, or work exchange. CANCELLATION POLICY FOR WORKSHOPS: Full refund is available with one-week (7 days) notice of cancellation, 80% refund with less than a week (7 days) notice of cancellation and 50% refund is available for nonattendance You have a choice of receiving a refund or credit voucher (valid for one year) of what you paid less a $25 Administrative Fee, or transfering your full deposit/payment to another currently scheduled event. * In addition to the $25 administrative fee we will also deduct any other costs already incurred by us due to your registration that we cannot recover. * Regarding transfers: Please note that although your full deposit/payment will be transfered to another event, if you then request that this money be transfered again, we will deduct the $25 fee for each subsequent transfer to reimburse us for administrative time. CEUs Rodger Sorrow is authorized to provide CEU credits to California Licensed Marriage & Family Therapists (MFTs) and Licensed Clinical Social Workers (LCSWs) for NVC training he offers. Request a CEU application packet at time of registration. There is a processing fee of $5/unit for the first 6 CEUs, $2/unit for each subsequent CEU - paid separately, after the event(s). The number of CEUs is shown for each training on the Workshop Schedule page. The provider is the Center for Nonviolent Communication, PCE# 1993. Courses meet the qualifications for continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences. Full refund is available with one-week (7 days) notice of cancellation, 80% refund with less than a week (7 days) notice of cancellation and 50% refund is available for nonattendance For more information please contact us: Kathi Aichner at 3120 Amber Court, Paso Robles, CA 93446 Phone; 805.434-1704, Email irishlassi@aol.com Rodger Sorrow at 3940 Via Lucero, Apt 10, Santa Barbara, CA 93110 Phone: 805-687-6961, Email rodgersorrow@verizon.net