Registration for Esoteric Healing Master Class

First name

Last name

Phone

Full Mailing Address (needed for me to mail your manual)

Multi-line address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Select your choice of Master Class format and start date

Start in the FALL and complete in 1 year

Start in the WINTER and complete in 1 year

Start in the FALL and spread out over 2 years

Start in the WINTER and spread out over 2 years

How did you hear about this class? If referred by a friend, please include their name and e-mail so I can thank them with a discount on their next class.

Are you repeating any of these classes? If so, who was your prior teacher and approximately when did you take the class?

Course Payment Options

Parts 1-4 ($120 savings)$1,980

I took Jen's Intro class. My $50 coupon is applied to this class. $1,930

I'm repeating all 4 classes ($400 per class)$1,600

I'd like to take only Part 1. Please go back and register for Part 1. $0

Part 1