Please fill out the registration form
2018 Series of 10 days: Saturday & Sunday on April 7/8, April 28/29, May 19/20, June 9/10, June 30/July 1.
Event Address: 9 Crown Street Milford, CT 06460
Time: 9 am - 4:30 pm with a 30 minute lunch break
Contact us at (203) 980-4103 or CGB@IntegrativeEnergyMedicine.com
Contact us if you are interested in a weekday class series.
Integrative Energy Medicine Institute Certification
Instructor: Chantal Guillou-Brennan, CHT, IEMT, Shamanic Practitioner.
First & Last Name to Appear on Your Certificate *
Graduation ceremony on July 1 at 5pm.
Your answer
Your Email *
Your answer
Cell Phone *
Your answer
Do you have special requirements?
Please verify that you have the prerequisite training to take this class
We recommend to have taken Reiki 1 and 2 or have experience with similar healing modality based on the chakra system.
10-Day Energy Medicine Training Certification $2500 (view discount below) *
Each class starts at 9 am and ends at 4:30pm on April 7/8, April 28/29, May 19/20, June 9/10, June 30/July 1.
Required
Please select your payment option. Credit card on file will be charged on the first of the month per your payment plan. *
Payment: Cash, check or CC & Paypal - Your registration is 100% refundable when you notify us of your withdrawal 48 hours before the class starts. Please select your payment option. Credit card on file will be charged on the first of the month per your payment plan.
Required
What are you looking for in this class?
Your answer
This class was recommended to me by (their first and last name or leave blank)
Please give $100 credit toward their 10 day Energy Medicine certification
Your answer
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:
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.