Register - ACT
HYBRID INTENSIVE: Zoom 5:30:-9:30PM + LIVE 8:30AM-1:30PM (Two 10-minute breaks)
• Z Friday August 5 + Saturday August 6, 2023
• Z Friday October 6 + Saturday October 7, 2023
Location of live practice: Walnut Beach Wellness Center,  Milford, CT 06460
Call/text us at (203) 980-4103 or
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Email *
Integrative Energy Medicine Institute Certification
Instructor: Chantal Guillou-Brennan, Certified Reiki Master and Teacher
First & Last Name to Appear on Your Certificate *
Confirm Email *
Cell Phone *
City, State/Country
Date *
HYBRID ZOOM= 5:30-9:30PM •  LIVE 8:30-1:30PM
Payment *
$250 to receive Zoom link and manual to day before class. PAYMENT on NEXT SCREEN.
I have chosen to experience the above class 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/healthcare professional. 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 and or experience the content of the class I am enrolling into.
LIABILITY: By submitting this form, I willingly agree to hold harmless and release from all liability the organizers, facilitators, and participants in this workshop, including Chantal Guillou-Brennan and the Integrative Energy Medicine Institute.
INFECTION POLICY:  By attending a live class/meeting you attest that to the best of your knowledge you are free of  any contagious disease and display no symptoms of contagious disease including COVID. In addition you take full responsibility for the possible risk of infection including COVID and acknowledge that it is your responsibility to wear a mask.
NO-SHOW POLICY LIVE CLASS: The $50 registration deposit in non refundable unless you cancel 48 hours prior to class.
ONLINE CLASS POLICY: Cancellation 48hr prior to class for refund. No refund once the manual is emailed, but payment can be applied to another date for same class. View policy at Thank you for your understanding and cooperation.  
By submitting this registration you agree with the above policies, terms and conditions.
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