Thank You For Your Registration!

Thank you for choosing Integrative Connections to support and coach you through your relationship and communication improvement journey. Please fill out this brief intake form so that we can learn a little more about you, and what you are looking for during your experience with us. Once we receive your information, we will contact you with more logistics and preparation instructions. We look forward to meeting you in person.

Rudy and Sherry

Your Name *
Your Name
Your Phone *
Your Phone
Your Partner's Name *
Your Partner's Name
Your Partner's Phone *
Your Partner's Phone
Acknowledgement *
1. Although Rudy Hayek and Sherry Villanueva are Licensed Marriage & Family Therapists, they will be conducting this program as relationship & communication coaches and facilitators. 2. The program’s format includes group and individual exercises designed to enhance your strengths, identify your challenges, and coach you to integrate strategies to reach your desired goals. 3. This program is not a replacement for therapy and counseling. It is however, designed to provide you with skill-building tools and experiential exercises to improve your communication and relational skills. 4. Results and experience of the workshop will vary from person-to-person. However, research shows that your level of commitment and intention correlates directly with outcomes. 5. If you are still unsure whether this workshop is the appropriate setting and approach for your particular needs, please consult Rudy and Sherry. 6. A 100% refund of your fee will be considered 10 days prior to the first day of the workshop/program. 7. A 50% refund of your fee will only be considered 48 hours prior to the beginning of the first day of the workshop/program.