Case Management & Professional Practice (Course 4)
Registration for Nanaimo, BC C#21715 Thursday Nov. 23 - Sunday Nov. 26, 2017
Email address *
Tuition - Includes $100 non-refundable deposit and GST - Register by June 22, 2017 for $50 early discount (prices are subject to change without notice) *
$50 early registration discount if registering by June 22, 2017
Required Text - Foundations & Practice of Healing Touch (used for all 5 HT Courses) *
Tuition including $100 Non-refundable Registration Deposit is due by Nov 17/17 *
Meals & Lodging $528.00 (Incl GST) - Due by Nov 9/17 to hold a room for you. This class will be offered in a retreat setting and participants are expected to stay on-site. Fees include single rooms with shared washroom facilities, meals, facility use, meeting space and a portion to offset the fees for the 2 class staff. Please select your meal preference. *
Please specify any food allergies: *
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Name : *
(first & last - as you would like them to appear on your certificate of attendance)
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Credentials (eg. RN, RMT, BA, etc. or none): *
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I am a Nurse: *
# & Street Address: *
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City & Province: *
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Postal Code: *
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Preferred Telephone #: *
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Gender: *
I will bring a massage table for the treatment exchanges: *
I am a full-time student with student ID *
Date & city/prov of Advanced Healer Preparation (course 3) - email or mail copy of certificate of attendance. *
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If repeater give dates and city/prov of previous class.
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I authorize my name, address, tel # & email as shown on this form to be included on the class participant list & to be shared only with class participants (for networking purposes) & Healing Beyond Borders. Sign & Date *
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A copy of your responses will be emailed to the address you provided.
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