Earth Connections Natural Healing, Chiron Healing Practitioner

"Music expresses that which cannot be put into words and that which cannot remain silent."

Victor Hugo

Bookings

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* Required Fields

* First Name:

Last Name:

Phone:

Mobile:

* Email:

Fax:

* Workshop Name:

* Workshop Date:

Can you bring a massage table?

Yes

Have you experience or training in any other modalities?

Morning and afternoon teas will be provided.
Please bring lunch to share and advise any dietary needs.

General comments:

Please note: a $50.00 deposit is required 2 weeks prior to the workshop date.
This may be paid by cheque or direct bank transfer. The details will be on the confirmation page that will be displayed after this form is submitted.

* Payment method?

Bank Transfer

Cheque

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