Class Registration

Please complete the form below, hit submit and then follow instructions for payment.

Welcome!

In order for this class to be exactly what you need, I will prepare a customized plan. Please help me by answering the following questions:

Pertinent Information

Your First and Last Name

Email Address

Name of the class for which you are now registering:

Class Date

Do you consider yourself a beginner, intermediate or advanced in working with energy for yourself or with others? Do you consider yourself a beginner, intermediate or advanced in working with energy for yourself or with others? Beginner Intermediate Advanced

Do you have a meditation practice? Do you have a meditation practice? Yes No

If yes, how often and how long do you practice?

What other energy healing skills are familiar with? Such as Reiki, mediumship, etc

Please explain your knowledge of energy and how it relates to the human being and healing the body/mind/spirit.

Are you familiar with the use of a pendulum for obtaining information about your energy field. If so, explain what your experience has been with this form of communication.

What is your knowledge of self healing?

What do you expect to get out of this class?

Please share any other information about yourself and your current understanding of energy healing that I could use to help me give you the best possible experience in my class.

4 + 13 =

Once you have completed your registration form, and hit submit, you will receive a conformation message and a link to our payment portal. If you are not redirected, then please go ahead and click Paypal button to your right here. You will see that Paypal accepts a variety of credit cards. They will email you a receipt.