Register – Dayspring Mental Health Counseling, PLLC

Exploring Anger Through Art

This workshop will help participants understand anger, recognize underlying emotions, and use art to express this complex feeling.
You must be 18 years or older to participate.

Bring your own supplies for the art activity:
-Two 8.5”x11” copy paper or larger
-Pen or pencil
-Coloring materials (suggested: colored pencil, colored markers, oil pastels, or highlighters) or your preferred materials.

Submitting this registration form does not guarantee a spot in the Exploring Anger Through Art workshop. Registration fee of $5 is required within 48 hours of receiving the invoice. Registration fee is non-refundable. Dayspring will send a Paypal invoice to the email provided. Your spot is reserved once payment is received.

In the event that Katherine Liaw, LCAT, ATR-BC is unable to conduct the workshop, make-up dates are the following:

November 4, 2026 at 8pm will be scheduled for November 11, 2026 at 8pm
November 6, 2026 at 7pm will be scheduled for November 13, 2026 at 7pm

If circumstances prevent Katherine Liaw, LCAT, ATR-BC from conducting the workshop on the designated make-up dates, the registration fee will be refunded.

姓名

名字

姓

电子邮件

电话号码

In case of an emergency during the workshop please provide an emergency contact Name and Phone number:

I would like to attend the workshop on

Wednesday, November 4, 2026 at 8pm
Friday, November 6, 2026 at 7pm

provide emergency attend

Age

I am 18 years of age or older. *

Future emails from Dayspring

I would like information about future offerings from Dayspring.

Acknowledgement

• I authorize Dayspring Mental Health Counseling, PLLC to contact me by email and phone regarding my Exploring Anger Through Art workshop registration.
• I confirm that I am 18 years of age or older to participate in this workshop.
• I understand that completing this registration form does not guarantee a spot in the workshop.
• My registration fee is non-refundable even if I cannot attend.
• My registration will only be considered confirmed once the non-refundable registration fee of $5 has been paid in full.
• Dayspring Mental Health Counseling, PLLC will provide a Paypal invoice to the email I provided above.
• Upon receipt of full payment, I will receive an email confirming my registration with a link to the workshop. Reminder emails and text will be sent to me.
• My personal information will not be stored nor shared unless I checked the box asking to be notified about future offerings. Otherwise, my information will only be used for the purposes of the workshop.