“Creating Exact Moments of Healing” Open Workshop Registration

Please use the form below to register for “Creating Exact Moments of Healing”.

Name(Required)

Email(Required)

Cell Phone(Required)

Registration Options(Required)

Creating Exact Moments of Healing – Individual Working Space ($595)

Creating Exact Moments of Healing – Group Space ($475)

Creating Exact Moments of Healing – Student/Alumni Space ($300)

Lodging(Required)

No Lodging

Lodging ($170)

Creating Exact Moments of Healing Total

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Name

This field is for validation purposes and should be left unchanged.