Transpersonal Nature of Therapeutic Touch^®
(Intermediate Level) Zoom Class Registration

Name*

Address*

City, State, Zip*

Phone*

Email*

Occupation*

License (if CEUs are required):

We take care to tailor our workshops to the needs of our participants. To that end, please provide the following information:

What TT class or classes have you taken?
Please give class name(s), date(s), teacher(s).*

How many months (or years) have you practiced TT?*

On average, how many times per week do you practice TT?*

In what settings (e.g. hospital, at home with family, etc.) do you practice TT?*

Do you practice any other healing modalities? In what setting do you practice them?

What do you hope to have happen for you as a result of this workshop?

Is there anything else we should know?

Payment method (select one)*:

I prefer to pay online.I prefer to mail you a check.

Please note: Class fee is non-refundable except in limited circumstances.

I have read the refund policy.