Workshop Registration

Your Name (required)

Your Email (required)

Your Phone (required)

Your Address (required)

Your City, State, Zip (required)

License #: (If CNEs are requested)

Help me tailor this workshop to what you need:

How did you hear about this program?

What makes it interesting to you?

Do you practice other healing modalities?

Please list previous experiences & encounters (if any) with Therapeutic Touch:

Anything else I need to know to help your learning go well?

Note class registration fee is non-refundable except in very limited circumstances.
I agree to the refund policy.

I prefer to pay: OnlineBy checkOther method