Spring Multisensory Medicine Course Application
To apply for the 6 September 10 week online MSM course with Dr Leila
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Email *
Full Name
Email 
Contact number with dialing code
Current age
Country currently residing in
Occupation or industry 
Please share any relevant qualifications
Share any experience as a healer, if any
Please share why you would like to be considered for this course 
What personal work have you done on your journey to healing and awakening?
What do you most want to learn from this course?
Is there anything else you would like to share?
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