We can't wait to have you join CSS!

Group registration is a two-step process. Please start by completing the following form online. Once received, we'll email you a group registration invoice, within 24 hours. You can secure your spot in group by paying the invoice. Your registration isn't confirmed until you have paid the invoice and received payment confirmation. Please note this deposit is non-refundable.

Should you have any questions or problems, please email Melissa directly at melissa@mendcouplestherapy.com

Name *
Phone *
Mailing address
Mailing address
I am registering for: *
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Please read and agree to the following: *