Registration Form Name Email Address Phone Number Partner’s Name Partner’s Email Address City State Zip Code Country Select what you are interested in registering for : Select what you are interested in registering for : Couples Intensives virtually through Zoom Couples Intensives in person Monthly Couples Workshop based on Hold Me Tight® Dr. Delshad will be contacting you to discuss the suitability of this specific option to your current situation. Please add any questions you may have here: Submit