Please fill out the registration from
Event Date: Sunday January 13, 2019
Prerequisite: IEMI Shamanism 101 & Reiki 1 • Recommended: Reiki 2
Event Address: 9 Crown Street Milford, CT 06460
Time: 9 am - 4 pm
Contact us at (203) 980-4103 or CGB@IntegrativeEnergyMedicine.com
Integrative Energy Medicine Institute Certification
Instructor: Chantal Guillou-Brennan, CHT, IEMT, Mastery of Awareness™ Practitioner/Teacher
First & Last Name to Appear on Your Certificate
Please register for one of these classes
Each class starts at 9 am and ends at 4pm
Sunday January 13, 2019
$50 deposit reserves your place in the class. Cash, check or CC with 4% surcharge accepted. $175 at the door does not secure your place in the class. Please review our refund policy.
Pay $150 now
$175 at the door
$75 Repeat IEMI student.
Who recommend this class to you? (Please give their name or referral code for them to earn $10 credit toward their "next" IEMI training).
Prerequisite: Shamanism 101 & Reiki 1. Recommend Reiki 2. Do you meet this prerequisite? If not you agree to take full responsibility for participating in this training. Result in obvious inability to demonstrate such capacity may result in not receiving your certificate of proficiency in Shamanic Healing necessary for graduation in Mastery of Awareness™ teaching certificate.
Yes I met the prerequisite.
No I take full responsibility.
CONSENT AGREEMENT: READ & APPROVED
I have chosen to experience the above workshop of my own free will. I am aware that the process of studying/practicing healing modalities may bring up issues of a highly personal nature that may cause me to experience emotional or physical responses which may be unexpected and/or unpleasant. I understand that none of the healing modality taught are a substitute for medical care and I am advise to discuss my personal physical or mental issues with my physician. Additionally, I should continue any present medical treatment and consult my medical doctor for treatment of any illness. I confirm that I do not currently suffer from any mental or physical impairment, and have not been diagnosed in the past with any disorder, condition, or injury, either physical or mental, that might make it un-advisable for me to study the modality I am enrolling into.By signing this document below, I willingly agree to hold harmless and release from all liability the organizers, facilitators, and participants in this workshop, including Chantal Guillou-Brennan, IEMP, CHT, CQHHT and the Integrative Energy Medicine Institute. Read and approved:
I HAVE READ AND APPROVE THIS CONSENT AGREEMENT.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service