Esoteric Healing Part 3 Registration

Fall 2025

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

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

Please provide the following information: 1) Part 1 Teacher and Date 2) Part 2 Teacher and Date.

Are you repeating this class? If so, who was your prior teacher and approximately when did you take the class?

Select appriopriate payment option

Part 3 Course Fee (includes manual, session binder, mailing US/download other)$525

I am retaking Part 3$400