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Homeopathy 101: Health Empowerment Tools Taught by Jenna Lynn Blaze, DiHom, DSH-P
Intake Form Homeopathy Course
Address required for invoicing purposes
Telephone number (incl area codes)
Please describe your level of experience with homeopathy
What would you most like to learn from the class (the things that interest you most and what you are hoping to gain from it)?
Are you planning to use it to help others. If yes, in what capacity?
Please indicate which of the following tools most interest you
Well-known, much-used (polycrest) homeopathic remedies
Understanding potency and remedy types (sarcodes, nosodes, etc)
Combining remedies and potencies
Understanding Sequential Homeopathy
Supporting the Immune System with Homeopathy
Supporting Women's Health with Homeopathy
How to use Gemmotherapies and other homeopathic detox/drianage supports
Supporting Physical Trauma / Injury with Homeopathy
Understanding Mind-Body Connection
I want to learn to take care of my children and family
SEMINAR DATES: Please check the dates you plan to attend
Introductory Seminar (Free) Sunday, Sept 29, 5-7pm
Introductory Seminar (Free) Wednesday, Oct 3, 7-9pm
I want to attend the all of it!: 5-Seminar Series (Early registration before Sept 25th: $99)
I plan to register for the 4-series seminars by Oct. 7 (Regular Registration: $110)
Oct 7: Immune Support for Cough, Cold, Flu, Sore Throat and other ENT Challanges ($30)
Oct 14: Physical Trauma Tools: Injuries, Accidents, Burns, Bug Bites, You Name It! ($30)
Oct 21: The Feminine Side: Homeopathic Support for Women's Health ($30)
Oct 28: Digestive Support and Detox: Focus on Gut, Kidney, Liver, Skin ($30)
Please ask any other questions here or provide further info that you feel is relevant
Thank you for your time
A copy of your responses will be emailed to the address you provided.
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