C O U R S E   E N R O L L M E N T

This form is for those who have never taken an online course with Ralph.

If you have filled out this form before when singing up for previous online courses with Ralph, please skip the form and scroll down for payment options.

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Name
I understand that Ralph's online courses are not psychotherapy. Even though they teach psychotherapeutic methodologies, they are intended to teach me skills I can use for my personal growth. They may involve accessing sensitive psychological material, and I declare that I have the psychological stability to handle whatever may come up. I am responsible for my participation in the class and any psychological work that I choose to do, and I will not hold Ralph De La Rosa responsible for any pain or damages that may occur.
Redefining Self-Love Course Options
Unstuck Self-Investment Options