Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please complete this form before attending a scheduled workshop or to request a workshop or retreat. If you prefer to answer the questions during a phone call, please enter "Call please" here:First and last name *Email address *Phone number *Which workshops(s) would you like to join? *Take care of your grieving self with creativity and hypnosis, Nov. 18, 2025, $79 (This is a special introductory fee!) This workshop is full. Stay tuned a future date!Honour and remember your loved one, $99Reimagine your future, $99Grieve a job loss, $99Please see the Services page for descriptions and other information about these workshops.Tell me a little about yourself. This may include a few details about your loss(es). *If you like, tell me how I can help you.Gatherings at The Loss Art take place on site in Port Dover, Ontario. Is there anything I need to be aware of to ensure your comfort and safety, like food allergies or accessibility challenges, such as mobility or hearing needs? How did you hear about The Loss Art? *Do I have your consent to contact you by phone? *Yes, during the dayYes, in the early eveningNoPlease e-transfer the workshop fee to julie@thelossart.com to secure your spot and check the box below. Thank you! *PaidSubmit
